| Kellen A. Spivey Dental Services, Llc | |
|
6118 Mcclellan Blvd Anniston AL 36206-8403 | |
| (256) 820-4821 | |
| (256) 820-2219 |
| Full Name | Kellen A. Spivey Dental Services, Llc |
|---|---|
| Speciality | Dentist |
| Location | 6118 Mcclellan Blvd, Anniston, Alabama |
| Authorized Official Name and Position | Kellen Spivey (OWNER) |
| Authorized Official Contact | 2568204821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellen A. Spivey Dental Services, Llc 6118 Mcclellan Blvd Anniston AL 36206-8403 Ph: (256) 820-4821 | Kellen A. Spivey Dental Services, Llc 6118 Mcclellan Blvd Anniston AL 36206-8403 Ph: (256) 820-4821 |
| NPI Number | 1962633255 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Medicare PECOS PAC ID | 2264750389 |
|---|---|
| Medicare Enrollment ID | O20150421000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962633255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AL5704 (Alabama) | Primary |
| Provider Name | Kellen Allaman Spivey |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801025267 PECOS PAC ID: 3173841293 Enrollment ID: I20150421000784 |
G.f. Atwell Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Leighton Ave, Suite 401, Anniston, AL 36207 Phone: 256-236-6090 Fax: 256-236-0713 | |
Kinsey Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5820 Mcclellan Blvd, Anniston, AL 36206 Phone: 256-820-5570 Fax: 256-820-5322 | |
Joseph A. Walker, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Leighton Ave, Anniston, AL 36207 Phone: 256-236-1623 Fax: 775-855-6346 | |
Jennifer H. Pruitt Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6118 Mcclellan Blvd, Anniston, AL 36206 Phone: 256-820-4821 Fax: 256-820-2219 | |
John A. Flannagan Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Christine Ave, Anniston, AL 36207 Phone: 256-238-8881 Fax: 256-238-8803 | |
James L Finley Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Christine Ave, Anniston, AL 36207 Phone: 256-237-0672 | |
Thomas D Sharp Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E 7th St, Anniston, AL 36201 Phone: 256-236-5343 |