Provider Demographics
NPI:1740564855
Name:J. SCOTT BARBEE, DMD, PSC
Entity Type:Organization
Organization Name:J. SCOTT BARBEE, DMD, PSC
Other - Org Name:PEDIATRIC DENTISTRY OF BOWLING GREEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BARBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:270-393-9925
Mailing Address - Street 1:1830 DESTINY LN STE 119
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-1089
Mailing Address - Country:US
Mailing Address - Phone:270-393-9925
Mailing Address - Fax:270-393-9928
Practice Address - Street 1:1830 DESTINY LN STE 119
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-1089
Practice Address - Country:US
Practice Address - Phone:270-393-9925
Practice Address - Fax:270-393-9928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY81941223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60003738Medicaid