| Twin Lakes Family Dental, Pllc | |
| 
					1919 Elizabethtown Rd Leitchfield KY 42754-8100  | |
| (270) 259-3232 | |
| (270) 259-2981 | 
| Full Name | Twin Lakes Family Dental, Pllc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1919 Elizabethtown Rd, Leitchfield, Kentucky | 
| Authorized Official Name and Position | Paul E King (MEMBER) | 
| Authorized Official Contact | 2702423922 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Twin Lakes Family Dental, Pllc 1919 Elizabethtown Rd Leitchfield KY 42754-8100 Ph: (270) 259-3232  | Twin Lakes Family Dental, Pllc 1919 Elizabethtown Rd Leitchfield KY 42754-8100 Ph: (270) 259-3232  | 
| NPI Number | 1639579501 | 
|---|---|
| Provider Enumeration Date | 08/28/2014 | 
| Last Update Date | 08/28/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639579501 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6006 (Kentucky) | Primary | 
Nichols Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2471 Elizabethtown Rd, Leitchfield, KY 42754 Phone: 270-259-4008 Fax: 270-259-4009  |