# TWIN LAKES FAMILY DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639579501
- **Authorized official:** DR. PAUL E KING (MEMBER)
- **Authorized official phone:** (270) 242-3922

## Contact information

- **Practice address:** 1919 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-8100
- **Practice address phone:** (270) 259-3232
- **Practice address fax:** (270) 259-2981
- **Mailing address:** 1919 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-8100
- **Mailing address phone:** (270) 259-3232
- **Mailing address fax:** (270) 259-2981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6006 | KY | Yes |

## Other

- **Enumeration date:** 08/28/2014
- **Last updated:** 08/28/2014