# DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C
- **Other names:** Bowling Green Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902969215
- **Legal business name:** DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C
- **Authorized official:** CARMEN WOODS (INSURANCE/RECEIVABLES)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 1025 ASHLEY ST, SUITE C, BOWLING GREEN, KY 42103-3406
- **Practice address phone:** (270) 842-0025
- **Practice address fax:** (270) 842-0093
- **Mailing address:** 1025 ASHLEY ST, SUITE C, BOWLING GREEN, KY 42103-3406
- **Mailing address phone:** (270) 842-0025
- **Mailing address fax:** (270) 842-0093

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 01/11/2014
