Provider Demographics
NPI:1558351072
Name:FLOWERS, DON K (DMD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:K
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40069-1413
Mailing Address - Country:US
Mailing Address - Phone:859-336-7701
Mailing Address - Fax:859-336-8478
Practice Address - Street 1:108 COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:KY
Practice Address - Zip Code:40069-1413
Practice Address - Country:US
Practice Address - Phone:859-336-7701
Practice Address - Fax:185-933-6847
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY63081223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY61900072Medicaid
KY60063088Medicaid