NPIMap

Organization Active NPI

Commonwealth Health Free Clinic, Inc

Doing business as The Dental Clinic

  • General Practice Dentistry
  • Bowling Green, KY
National Provider Identifier
1114169661
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMMONWEALTH HEALTH FREE CLINIC, INC
Doing business as
The Dental Clinic
Practice address
740 E 10TH Ave
Bowling Green, KY 42101-2318
Phone
(270) 781-9765
Fax
(270) 782-6461
NPI assigned
Mar 30, 2009
Last updated
Mar 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald G. Sowell
Title
Executive Vice President
Phone
(270) 781-9765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

740 E 10TH Ave
Bowling Green, KY 42101-2318

Mailing address

PO Box 9577
Bowling Green, KY 42102-9577
Phone (270) 745-1467

Other names 1

  • THE DENTAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Health Free Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1114169661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9577",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421029577",
            "telephone_number": "270-745-1467",
            "fax_number": "270-745-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E 10TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012318",
            "telephone_number": "270-781-9765",
            "fax_number": "270-782-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH HEALTH FREE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "SOWELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "270-781-9765"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.