Bryan T Kendricks, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Dothan, Alabama. His current practice location is
Alabama Center For Oral Surgery And Dental Implants, 188 N Foster St Suite 203, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 697-6453.
Bryan T Kendricks is licensed to practice in Alabama (license number D007143D) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477087898.
Healthcare Provider's Profile
Full Name | Bryan T Kendricks |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | Alabama Center For Oral Surgery And Dental Implants, Dothan, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477087898
- Provider Enumeration Date: 04/12/2017
- Last Update Date: 09/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789956004
- Enrollment ID: I20170822002014
Medical Identifiers
Medical identifiers for Bryan T Kendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477087898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 9978 (Kentucky) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | D007143D (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan T Kendricks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bryan T Kendricks, DMD, MD 188 N Foster St Suite 203, Dothan, AL 36303 Ph: (334) 697-6453 | Bryan T Kendricks, DMD, MD Alabama Center For Oral Surgery And Dental Implants, 188 N Foster St Suite 203, Dothan, AL 36303 Ph: (334) 697-6453 |
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