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Organization
LINCOLN TRAIL DENTAL, PLLC
Active
Organization
LINCOLN TRAIL DENTAL, PLLC
Active
Other names
Lincoln Trail Dental, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER GLENN NICHOLS DMD (OWNER)
(270) 505-5066
Entity
Organization
Contact information
Practice address
2736 RING RD, ELIZABETHTOWN, KY 42701-9151
(270) 765-5597
Mailing address
2736 RING RD, ELIZABETHTOWN, KY 42701-9151
(270) 765-5597
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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