| A-1 Medicaid Dental Group | |
|
610 W 11th St Bicknell IN 47512-9627 | |
| (812) 735-2121 | |
| Not Available |
| Full Name | A-1 Medicaid Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 610 W 11th St, Bicknell, Indiana |
| Authorized Official Name and Position | Stephen Kent Williams (PRESIDENT) |
| Authorized Official Contact | 8127352121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A-1 Medicaid Dental Group 610 W 11th St Bicknell IN 47512-9627 Ph: (812) 735-2121 | A-1 Medicaid Dental Group 610 W 11th St Bicknell IN 47512-9627 Ph: (812) 735-2121 |
| NPI Number | 1932484649 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932484649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7719IN (Indiana) | Primary |
| 1223G0001X | Dentist - General Practice | 7704IN (Indiana) | Secondary |
Stephen K Williams Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 W 11th St, Bicknell, IN 47512 Phone: 812-735-2020 Fax: 812-735-2121 | |
James S Breuker Dds & Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 W 11th St, Bicknell, IN 47512 Phone: 812-220-0693 |