| John D. O'cull Dentistry P.s.c. | |
|
Rural Route 3037 Vanceburg KY 41179 | |
| (606) 796-3811 | |
| (606) 796-2221 |
| Full Name | John D. O'cull Dentistry P.s.c. |
|---|---|
| Speciality | Dentist |
| Location | Rural Route 3037, Vanceburg, Kentucky |
| Authorized Official Name and Position | John D O'cull (OWNER) |
| Authorized Official Contact | 6067963811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John D. O'cull Dentistry P.s.c. Po Box 549 Vanceburg KY 41179-0549 Ph: (606) 796-3811 | John D. O'cull Dentistry P.s.c. Rural Route 3037 Vanceburg KY 41179 Ph: (606) 796-3811 |
| NPI Number | 1568651016 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568651016 | NPI | - | NPPES |
| 61900619 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5556 (Kentucky) | Primary |
John D.o'cull Dentistry P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Route 3037, Vanceburg, KY 41179 Phone: 606-796-3811 Fax: 606-796-2221 |