Organization
OSBOURNE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER G NICHOLS DMD (OWNER)
(270) 737-3368
Entity
Organization
Contact information
Practice address
919 CHAMBERS BLVD STE A, BARDSTOWN, KY 40004-2574
(502) 348-6404
Mailing address
1602 LAKEWOOD DR, ELIZABETHTOWN, KY 42701-5458
(270) 737-3368
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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