| Alan Roy Antao, DMD | |
|
909 N Washington St, Bourbon, IN 46504-1447 | |
| (574) 342-4385 | |
| Not Available |
| Full Name | Alan Roy Antao |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 909 N Washington St, Bourbon, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841592235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21372 (Florida) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 122300000X | Dentist | 12014150A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Roy Antao, DMD 3136 Woodfield Dr, Kokomo, IN 46902-4788 Ph: (765) 513-5700 | Alan Roy Antao, DMD 909 N Washington St, Bourbon, IN 46504-1447 Ph: (574) 342-4385 |
Dr. Nicole Lynn Christy, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 909 N Washington St, Bourbon, IN 46504 Phone: 574-342-4385 Fax: 574-342-0461 | |
Dr. Stephen F Cullison, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 909 N Washington St, Bourbon, IN 46504 Phone: 574-342-4385 Fax: 574-342-0461 |