Lincoln Trail Dental, Pllc | |
2736 Ring Rd Elizabethtown KY 42701-9151 | |
(270) 765-5597 | |
Not Available |
Full Name | Lincoln Trail Dental, Pllc |
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Speciality | Clinic/center - Dental |
Location | 2736 Ring Rd, Elizabethtown, Kentucky |
Authorized Official Name and Position | Christopher Glenn Nichols (OWNER) |
Authorized Official Contact | 2705055066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lincoln Trail Dental, Pllc 2736 Ring Rd Elizabethtown KY 42701-9151 Ph: (270) 765-5597 | Lincoln Trail Dental, Pllc 2736 Ring Rd Elizabethtown KY 42701-9151 Ph: (270) 765-5597 |
NPI Number | 1184364036 |
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Provider Enumeration Date | 03/30/2022 |
Last Update Date | 03/30/2022 |
Identifier | Type | State | Issuer |
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1184364036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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