Dr Bryce Christofer Killian, DDS is a
Dentist - General Practice based in Paul, Idaho. Dr Bryce Christofer Killian is licensed to practice in Idaho (license number D-3272) and his current practice location is
207 W. Ellis St., Paul, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 438-4855.
NPI number for Dr Bryce Christofer Killian is 1609971928 and his current mailing address is Po Box 549, Paul, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609971928.
Healthcare Provider's Profile
| Full Name | Dr Bryce Christofer Killian |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 207 W. Ellis St., Paul, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609971928
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bryce Christofer Killian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609971928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D-3272 (Idaho) | 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. Dr Bryce Christofer Killian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bryce Christofer Killian, DDS
Po Box 549,
Paul, ID 83347-0549
Ph: (208) 438-4855 | Dr Bryce Christofer Killian, DDS
207 W. Ellis St.,
Paul, ID 83347
Ph: (208) 438-4855 |
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