Organization
TRENT M. NELSON, D.M.D. P.S.C.
Active
Other names
Bluegrass Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT M NELSON D.M.D. (PRESIDENT)
(270) 442-5071
Entity
Organization
Contact information
Practice address
657 LONE OAK RD STE 5, PADUCAH, KY 42003-4547
(270) 442-5071
Mailing address
657 LONE OAK RD STE 5, PADUCAH, KY 42003-4547
(270) 442-5071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7500
KY
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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