| Vicco Dental Center, P.s.c. | |
|
35 Longfield Circle Vicco KY 41773 | |
| (606) 476-8121 | |
| (606) 476-9541 |
| Full Name | Vicco Dental Center, P.s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 35 Longfield Circle, Vicco, Kentucky |
| Authorized Official Name and Position | Anthony Scott Browning (PRESIDENT) |
| Authorized Official Contact | 6064768121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicco Dental Center, P.s.c. Po Box 100 Vicco KY 41773-0100 Ph: (606) 476-8121 | Vicco Dental Center, P.s.c. 35 Longfield Circle Vicco KY 41773 Ph: (606) 476-8121 |
| NPI Number | 1376664615 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376664615 | NPI | - | NPPES |
| 45608718 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6673 (Kentucky) | Primary |
Vicco Dental Center Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Longfield Circle, Vicco, KY 41773 Phone: 606-476-8121 Fax: 606-476-9541 |