Organization · Type 2 NPI

Lucas Ian Trout, Dds, LLC

Dental Clinic/Center · Monticello, IN

NPI number 1740876168 Active

Practice location

210 W Harrison St
Monticello, IN 47960-2208

Mailing address

6535 E 175 N
Monticello, IN 47960-7488

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1740876168

Lucas Ian Trout, Dds, LLC's National Provider Identifier is 1740876168, issued on Dec 20, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Monticello, IN. The record was last updated on Dec 20, 2020.