Individual
DR. MICHAEL WAYNE HUBBARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1109 STATE ST, BOWLING GREEN, KY 42101-2648
(270) 783-3573
(270) 783-4081
Mailing address
1109 STATE ST, BOWLING GREEN, KY 42101-2648
(270) 783-3573
(270) 783-4081
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
5937
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60059375
—
KY
Enumeration date
12/01/2005
Last updated
07/08/2007
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