Individual
TRENT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
657 LONE OAK RD, SUITE 5, PADUCAH, KY 42003-4547
(270) 442-5071
(270) 442-5067
Mailing address
657 LONE OAK RD, SUITE 5, PADUCAH, KY 42003-4547
(270) 442-5071
(270) 442-5067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7500
KY
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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