V Bruce Wilcox, DMD | |
2920 N 4th St, Flagstaff, AZ 86004-1816 | |
(928) 522-9405 | |
Not Available |
Full Name | V Bruce Wilcox |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 2920 N 4th St, Flagstaff, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811086341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE00009892 (Washington) | Secondary |
1223G0001X | Dentist - General Practice | D010487 (Arizona) | Primary |
Entity Name | North Country Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107 |
Mailing Address | Practice Location Address |
---|---|
V Bruce Wilcox, DMD Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9400 | V Bruce Wilcox, DMD 2920 N 4th St, Flagstaff, AZ 86004-1816 Ph: (928) 522-9405 |
Dr. Richard J. Shannon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1251 W University Ave, Flagstaff, AZ 86001 Phone: 928-214-0772 Fax: 928-214-0773 | |
Dr. William Charles Gaylord, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 713 N Beaver St, Flagstaff, AZ 86001 Phone: 928-774-0881 Fax: 928-774-2029 | |
Dr. Owen J Hibbert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 315 W Cherry Ave, Flagstaff, AZ 86001 Phone: 928-774-4199 | |
Thomas T Barnes, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2500 N Rose St, Flagstaff, AZ 86004 Phone: 928-213-6121 | |
David W Ho, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1024 N San Francisco St Ste 101, Flagstaff, AZ 86001 Phone: 928-779-0385 Fax: 928-779-6487 | |
Brandon John Tilts, DDS Dentist Medicare: Medicare Enrolled Practice Location: 518 N Beaver St, Suite A, Flagstaff, AZ 86001 Phone: 928-774-4705 Fax: 928-213-9665 | |
Dr. Vaughn Milton Oliver, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1953 E Y X Ranch Rd, Flagstaff, AZ 86001 Phone: 928-774-0586 |