| Brian L. Headrick DDS | |
|
120 S Fowler St Meade KS 67864-6404 | |
| (620) 873-2802 | |
| (620) 873-5308 |
| Full Name | Brian L. Headrick DDS |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 S Fowler St, Meade, Kansas |
| Authorized Official Name and Position | Brian L Headrick (DENTIST) |
| Authorized Official Contact | 6208732802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian L. Headrick DDS Po Box 516 Meade KS 67864-0516 Ph: (620) 873-2802 | Brian L. Headrick DDS 120 S Fowler St Meade KS 67864-6404 Ph: (620) 873-2802 |
| NPI Number | 1376254607 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376254607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |