# DR. NICOLE A. MIDDLETON, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689975237
- **Authorized official:** DR. NICOLE A. MIDDLETON DDS (OWNER)
- **Authorized official phone:** (270) 393-4814

## Contact information

- **Practice address:** 2425 SCOTTSVILLE RD, SUITE 120, BOWLING GREEN, KY 42104-4457
- **Practice address phone:** (270) 393-4814
- **Practice address fax:** (270) 842-5581
- **Mailing address:** 2425 SCOTTSVILLE RD, SUITE 120, BOWLING GREEN, KY 42104-4457
- **Mailing address phone:** (270) 393-4814
- **Mailing address fax:** (270) 842-5581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2010
- **Last updated:** 12/03/2012