Dr Sam Wiley Quillen Jr, DMD is a
Dentist - General Practice based in Neon, Kentucky. Dr Sam Wiley Quillen Jr is licensed to practice in Kentucky (license number 4626) and his current practice location is
Hwy 317, 861 Suite A Bx 36, Neon, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 855-7892.
NPI number for Dr Sam Wiley Quillen Jr is 1801955133 and his current mailing address is Po Box 36, 861 Suite A, Neon, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801955133.
Healthcare Provider's Profile
Full Name | Dr Sam Wiley Quillen Jr |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | Hwy 317, Neon, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801955133
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 12/13/2013
Medical Identifiers
Medical identifiers for Dr Sam Wiley Quillen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801955133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4626 (Kentucky) | 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 Sam Wiley Quillen Jr 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 Sam Wiley Quillen Jr, DMD Po Box 36, 861 Suite A, Neon, KY 41840-0036 Ph: (606) 855-7892 | Dr Sam Wiley Quillen Jr, DMD Hwy 317, 861 Suite A Bx 36, Neon, KY 41840-0036 Ph: (606) 855-7892 |
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