Trent M. Nelson, D.M.D. P.S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7500 Issued in KY

Legal business name

TRENT M. NELSON, D.M.D. P.S.C.

Doing business as

Bluegrass Dental Center

Practice address

657 Lone Oak Rd Ste 5
Paducah, KY 42003-4547

Phone

(270) 442-5071

NPI assigned

Jun 22, 2007

Last updated

Aug 22, 2020By 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

Trent M Nelson, D.M.D.NPI 1780779801

Title

President

Phone

(270) 442-5071

Specialties & licenses 1

Addresses

Other names 1

• Bluegrass Dental Center Doing business as

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.

• Trent Nelson, D.M.D.

  • General Practice Dentistry
  • Paducah, KY
  • NPI 1780779801
  NPD (past) Authorized official
• Donald W Tilley, D.D.S.

  • General Practice Dentistry
  • Paducah, KY
  • NPI 1225239841
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770789224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 LONE OAK RD STE 5",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034547",
            "telephone_number": "270-442-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 LONE OAK RD STE 5",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034547",
            "telephone_number": "270-442-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT M. NELSON, D.M.D. P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-442-5071",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Ray Travis, O.D.
• Olivia Travis
• Sheila Travis
• Angela J Traylor
• Jakhia Traylor, RN
• Jane F Trigg
• Tritle Family Dentistry, PSC
• Jamie Lynn Trout, LPN
• Adrianna Lyles Troutman, PT
• Shellon Katri Troutt, LPN

• General Practice Dentistry in Paducah, KY
• Providers in Paducah, 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 22, 2020; 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.