Individual
DR. NICHOLAS S ISING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
1102 WOODLAND DR, ELIZABETHTOWN, KY 42701-2750
(270) 769-2186
(270) 982-2666
Mailing address
1102 WOODLAND DR, ELIZABETHTOWN, KY 42701-2750
(270) 769-2186
(270) 982-2666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8835
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
844
KY
Other
Enumeration date
01/12/2010
Last updated
02/09/2010
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