Active NPI
Lincoln Trail Dental, PLLC
- Dental Clinic/Center
- Elizabethtown, KY
National Provider Identifier
1184364036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LINCOLN TRAIL DENTAL, PLLC
- Doing business as
- Lincoln Trail Dental, PLLC
- Practice address
- 2736 Ring Rd
Elizabethtown, KY 42701-9151 - Phone
- (270) 765-5597
- NPI assigned
- Mar 30, 2022
- Last updated
- Mar 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Glenn Nichols, DMD
- Title
- Owner
- Phone
- (270) 505-5066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
2736 Ring Rd
Elizabethtown, KY 42701-9151
Mailing address
2736 Ring Rd
Elizabethtown, KY 42701-9151
Phone (270) 765-5597
Other names 1
- Lincoln Trail Dental, PLLC
National Provider Directory
National Provider DirectoryLocations
2736 Ring Rd
Elizabethtown, KY 42701
Phone (270) 765-5597
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Elizabethtown, KY
- NPI 1609998103
-
- General Practice Dentistry
- Elizabethtown, KY
- NPI 1558483065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648598400000",
"number": "1184364036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2736 RING RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427019151",
"telephone_number": "270-765-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2736 RING RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427019151",
"telephone_number": "270-765-5597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN TRAIL DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "GLENN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-505-5066",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lincoln Trail Dental, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elizabethtown, KY
- Lincare Inc.
- Lincoln Medical Supply, Inc.
- Lincoln Trail Area Development District
- Lincoln Trail Area Development District
- Lincoln Trail Area Development District
- Lincoln Trail District Health Department
- Lincoln Trail District Health Department (Hardin County Health Center)
- Tasha L Lindsey, BSW
- Robert Louis Lippman
- Listen Hear LLC (Miracle Ear)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.