Organization Active NPI

Neville Dental Studio

  • General Practice Dentistry
  • Bowling Green, KY
National Provider Identifier
1508521071
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEVILLE DENTAL STUDIO
Practice address
155 Olde Towne Blvd
Bowling Green, KY 42103
Phone
(270) 715-2978
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Les Neville, DMD
Title
Dentist
Phone
(270) 715-2978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

155 Olde Towne Blvd
Bowling Green, KY 42103

Mailing address

155 Olde Towne Blvd
Bowling Green, KY 42103
Phone (270) 715-2978

National Provider Directory

National Provider Directory

Locations

155 Olde Towne Blvd
Bowling Green, KY 42103
Phone (270) 715-2978

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1508521071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 OLDE TOWNE BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42103",
            "telephone_number": "270-715-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 OLDE TOWNE BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42103",
            "telephone_number": "270-715-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVILLE DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "270-715-2978",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 1, 2021; 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.