| Brandon R. Wilcox, D.d.s., P.c. | |
|
916 W 10th St Alliance NE 69301-2858 | |
| (308) 762-6131 | |
| (308) 762-6132 |
| Full Name | Brandon R. Wilcox, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 916 W 10th St, Alliance, Nebraska |
| Authorized Official Name and Position | Brandon Rodney Wilcox (DENTIST/OWNER) |
| Authorized Official Contact | 3087626131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon R. Wilcox, D.d.s., P.c. 916 W 10th St Alliance NE 69301-2858 Ph: (308) 762-6131 | Brandon R. Wilcox, D.d.s., P.c. 916 W 10th St Alliance NE 69301-2858 Ph: (308) 762-6131 |
| NPI Number | 1699068411 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 06/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699068411 | NPI | - | NPPES |
| 100259327-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6926 (Nebraska) | Primary |
Alliance Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 W 10th St, Alliance, NE 69301 Phone: 308-762-6131 Fax: 308-762-6132 | |
Alliance Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2308 Box Butte Ave., Alliance, NE 69301 Phone: 308-762-6354 |