Sam W. Quillen Jr. Dmd | |
861 Hwy 317 Suite A Neon KY 41840-0036 | |
(606) 855-7892 | |
(606) 855-7892 |
Full Name | Sam W. Quillen Jr. Dmd |
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Speciality | Dentist |
Location | 861 Hwy 317, Neon, Kentucky |
Authorized Official Name and Position | Sam Wiley Quillen (OWNER) |
Authorized Official Contact | 6068557892 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sam W. Quillen Jr. Dmd Po Box 36 Suite A Neon KY 41840-0036 Ph: (606) 855-7892 | Sam W. Quillen Jr. Dmd 861 Hwy 317 Suite A Neon KY 41840-0036 Ph: (606) 855-7892 |
NPI Number | 1508131350 |
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Provider Enumeration Date | 03/13/2012 |
Last Update Date | 03/13/2012 |
Identifier | Type | State | Issuer |
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1508131350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 4626 (Kentucky) | Primary |