Dr Gordon Joseph Miniclier, DDS PC is a
Dentist - General Practice based in Independence, Virginia. Dr Gordon Joseph Miniclier is licensed to practice in Virginia (license number 0401005508) and his current practice location is
150 West Main Street, Independence, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 773-3521.
NPI number for Dr Gordon Joseph Miniclier is 1881768166 and his current mailing address is Po Box 560, 150 West Main Street, Independence, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881768166.
Healthcare Provider's Profile
| Full Name | Dr Gordon Joseph Miniclier |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 150 West Main Street, Independence, Virginia |
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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: 1881768166
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gordon Joseph Miniclier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881768166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 0401005508 (Virginia) | 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 Gordon Joseph Miniclier 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 Gordon Joseph Miniclier, DDS PC
Po Box 560, 150 West Main Street,
Independence, VA 24348-0560
Ph: (276) 773-3521 | Dr Gordon Joseph Miniclier, DDS PC
150 West Main Street,
Independence, VA 24348-0560
Ph: (276) 773-3521 |
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