# KY DENTAL PROFESSIONALS PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marquee Dental Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538601943
- **Authorized official:** PAM BUSCEMI (VP BUSINESS OPERATIONS)
- **Authorized official phone:** (615) 620-5990

## Contact information

- **Practice address:** 1602 WESTEN ST, BOWLING GREEN, KY 42104-4156
- **Practice address phone:** (270) 781-1706
- **Mailing address:** PO BOX 306208, NASHVILLE, TN 37230-6208
- **Mailing address phone:** (615) 620-5990
- **Mailing address fax:** (888) 702-3012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5637 | KY | Yes |

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 08/10/2021