Dr Shanna Burress, DMD | |
1109 State St, Bowling Green, KY 42101-2648 | |
(270) 781-8039 | |
Not Available |
Full Name | Dr Shanna Burress |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 1109 State St, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336336098 | NPI | - | NPPES |
7100147050 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8843 (Kentucky) | Primary |
Entity Name | Pennyroyal Healthcare Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124319942 PECOS PAC ID: 6002076700 Enrollment ID: O20120404000101 |
Mailing Address | Practice Location Address |
---|---|
Dr Shanna Burress, DMD 546 Certain Ln, Glasgow, KY 42141-7742 Ph: (270) 646-8966 | Dr Shanna Burress, DMD 1109 State St, Bowling Green, KY 42101-2648 Ph: (270) 781-8039 |
Dr. Michael Wayne Hubbard, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1109 State St, Bowling Green, KY 42101 Phone: 270-783-3573 Fax: 270-783-4081 | |
Dr. Kelli Alexander Barbee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 119, Bowling Green, KY 42104 Phone: 270-393-9925 Fax: 270-393-9928 | |
Kenneth Grant Bale, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 155 Olde Towne Blvd, Bowling Green, KY 42103 Phone: 270-715-2978 Fax: 270-715-2985 | |
Leslie Ann Hazel, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1711 Destiny Ln, Ste 120, Bowling Green, KY 42104 Phone: 270-843-8738 Fax: 270-843-8738 | |
Dr. Ronald L Yaeger, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 U S 31 West By Pass, Bowling Green, KY 42101 Phone: 270-781-3610 Fax: 270-796-2932 | |
Dr. Laura Nell Lawless, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Westen St, Bowling Green, KY 42104 Phone: 270-781-1706 Fax: 270-781-2338 | |
Samantha Jo Johnson, Dentist Medicare: Medicare Enrolled Practice Location: 1938 Lyda Ave, Bowling Green, KY 42104 Phone: 270-843-5600 |