| Lincoln Trail Dental, Pllc | |
|
2736 Ring Rd Elizabethtown KY 42701-9151 | |
| (270) 765-5597 | |
| Not Available |
| Full Name | Lincoln Trail Dental, Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184364036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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