Individual
EVAN REESE CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1602 LAKEWOOD DR, ELIZABETHTOWN, KY 42701-5458
(270) 491-3768
Mailing address
2136 CROSSFIELD DR, ELIZABETHTOWN, KY 42701-7830
(270) 300-9684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11374
KY
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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