# TRENT M. NELSON, D.M.D. P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bluegrass Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770789224
- **Authorized official:** TRENT M NELSON D.M.D. (PRESIDENT)
- **Authorized official phone:** (270) 442-5071

## Contact information

- **Practice address:** 657 LONE OAK RD STE 5, PADUCAH, KY 42003-4547
- **Practice address phone:** (270) 442-5071
- **Mailing address:** 657 LONE OAK RD STE 5, PADUCAH, KY 42003-4547
- **Mailing address phone:** (270) 442-5071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7500 | KY | Yes |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 08/22/2020