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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