NPIMap

Organization Active NPI

Precision Pediatric Dental Bowling Green LLC

Doing business as Bowling Green Pediatric Dental Group

  • Dentist
  • Bowling Green, OH
National Provider Identifier
1376994731
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.022469 Issued in OH
Legal business name
PRECISION PEDIATRIC DENTAL BOWLING GREEN LLC
Doing business as
Bowling Green Pediatric Dental Group
Practice address
1221 Ridgewood Dr
Suite B
Bowling Green, OH 43402-2787
Phone
(419) 352-2593
Fax
(419) 354-4717
NPI assigned
Jun 28, 2016
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Sarah Alston
Title
VP
Phone
(724) 698-2946

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.022469 OH Primary
Pediatric Dentistry 1223P0221X NU

Addresses

Primary practice location

1221 Ridgewood Dr
Suite B
Bowling Green, OH 43402-2787

Mailing address

125 Enterprise Dr Ste 200
Pittsburgh, PA 15275-1223
Phone (724) 698-2946

Other names 1

  • Bowling Green Pediatric Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1221 Ridgewood Dr
Ste B
Bowling Green, OH 43402
Phone (419) 352-2593

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1376994731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ENTERPRISE DR STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751223",
            "telephone_number": "724-698-2946",
            "fax_number": "724-652-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 RIDGEWOOD DR",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022787",
            "telephone_number": "419-352-2593",
            "fax_number": "419-354-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PEDIATRIC DENTAL BOWLING GREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "724-698-2946"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022469",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowling Green Pediatric Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.