| Lucas Ian Trout, Dds, Llc | |
|
210 W Harrison St Monticello IN 47960-2208 | |
| (765) 748-0809 | |
| Not Available |
| Full Name | Lucas Ian Trout, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 210 W Harrison St, Monticello, Indiana |
| Authorized Official Name and Position | Lucas Ian Trout (DENTIST) |
| Authorized Official Contact | 7657480809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Ian Trout, Dds, Llc 6535 E 175 N Monticello IN 47960-7488 Ph: (765) 748-0809 | Lucas Ian Trout, Dds, Llc 210 W Harrison St Monticello IN 47960-2208 Ph: (765) 748-0809 |
| NPI Number | 1740876168 |
|---|---|
| Provider Enumeration Date | 12/20/2020 |
| Last Update Date | 12/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740876168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Thomas L Hadley Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Harrison St, Monticello, IN 47960 Phone: 574-583-8060 Fax: 574-583-5644 | |
Mark A Riese Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Broadway St, Monticello, IN 47960 Phone: 574-583-5042 |