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Individual

DR. THOMAS JAMES BIRKENHAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
546 PARK ST, SUITE 400, BOWLING GREEN, KY 42101-1780
(270) 781-6161
(270) 781-6129
Mailing address
546 PARK ST, SUITE 400, BOWLING GREEN, KY 42101-1780
(270) 781-6161
(270) 781-6129

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8893
KY
1223G0001X
General Practice Dentistry
Primary
8893
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100193530
KY
Enumeration date
06/09/2010
Last updated
03/11/2015
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