Nichols Dental Center | |
2471 Elizabethtown Rd Leitchfield KY 42754-9119 | |
(270) 259-4008 | |
(270) 259-4009 |
Full Name | Nichols Dental Center |
---|---|
Speciality | Dentist - General Practice |
Location | 2471 Elizabethtown Rd, Leitchfield, Kentucky |
Authorized Official Name and Position | Jay L Nichols (DOCTOR) |
Authorized Official Contact | 2702594008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nichols Dental Center 2471 Elizabethtown Rd Leitchfield KY 42754-9119 Ph: (270) 259-4008 | Nichols Dental Center 2471 Elizabethtown Rd Leitchfield KY 42754-9119 Ph: (270) 259-4008 |
NPI Number | 1326217639 |
---|---|
Provider Enumeration Date | 02/21/2008 |
Last Update Date | 02/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326217639 | NPI | - | NPPES |
60066792 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6679 (Kentucky) | Primary |
Twin Lakes Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Elizabethtown Rd, Leitchfield, KY 42754 Phone: 270-259-3232 Fax: 270-259-2981 |