| 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 |