| Sam W. Quillen Jr. Dmd | |
| 
					861 Hwy 317 Suite A Neon KY 41840-0036  | |
| (606) 855-7892 | |
| (606) 855-7892 | 
| Full Name | Sam W. Quillen Jr. Dmd | 
|---|---|
| Speciality | Dentist | 
| Location | 861 Hwy 317, Neon, Kentucky | 
| Authorized Official Name and Position | Sam Wiley Quillen (OWNER) | 
| Authorized Official Contact | 6068557892 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sam W. Quillen Jr. Dmd Po Box 36 Suite A Neon KY 41840-0036 Ph: (606) 855-7892  | Sam W. Quillen Jr. Dmd 861 Hwy 317 Suite A Neon KY 41840-0036 Ph: (606) 855-7892  | 
| NPI Number | 1508131350 | 
|---|---|
| Provider Enumeration Date | 03/13/2012 | 
| Last Update Date | 03/13/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508131350 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 4626 (Kentucky) | Primary |