Organization
KY DENTAL PROFESSIONALS PSC
Active
Other names
Marquee Dental Partners
Organization subpart
No
Provider details
NPI number
Authorized official
PAM BUSCEMI (VP BUSINESS OPERATIONS)
(615) 620-5990
Entity
Organization
Contact information
Practice address
1602 WESTEN ST, BOWLING GREEN, KY 42104-4156
(270) 781-1706
Mailing address
PO BOX 306208, NASHVILLE, TN 37230-6208
(615) 620-5990
(888) 702-3012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5637
KY
Other
Enumeration date
11/16/2016
Last updated
08/10/2021
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