Twin Lakes Family Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6006 Issued in KY

Legal business name

TWIN LAKES FAMILY DENTAL, PLLC

Practice address

1919 Elizabethtown Rd
Leitchfield, KY 42754-8100

Phone

(270) 259-3232

Fax

(270) 259-2981

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul E King

Title

Member

Phone

(270) 242-3922

Specialties & licenses 1

Addresses

Locations

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.

• Linel Denise Holwager, D.M.D.

  • General Practice Dentistry
  • Leitchfield, KY
  • NPI 1841427754
  NPD (past)
• Courtney Lynn Mobley, DMD

  • Dentist
  • Leitchfield, KY
  • NPI 1013758648
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1639579501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 ELIZABETHTOWN RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427548100",
            "telephone_number": "270-259-3232",
            "fax_number": "270-259-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 ELIZABETHTOWN RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427548100",
            "telephone_number": "270-259-3232",
            "fax_number": "270-259-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "270-242-3922",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Torres
• Mitchell Tucker, PHARMD
• Phillip W Turner, MD
• Twin Lakes Anesthesiology and Pain Management Associates
• Twin Lakes Counseling Services, LLC
• Twin Lakes Home Health Agency, LLC (Twin Lakes Home Health)
• Twin Lakes Medical Foundation Inc
• Bailey Vanmeter
• Cynthia G. Veyel, APRN
• Clay D Vincent, APRN

• General Practice Dentistry in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.