| Vicco Dental Center Psc | |
|
35 Longfield Circle Vicco KY 41773 | |
| (606) 476-8121 | |
| (606) 476-9541 |
| Full Name | Vicco Dental Center Psc |
|---|---|
| Speciality | Dentist |
| 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 Psc Po Box 100 Vicco KY 41773 Ph: (606) 476-8128 | Vicco Dental Center Psc 35 Longfield Circle Vicco KY 41773 Ph: (606) 476-8121 |
| NPI Number | 1477656429 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477656429 | NPI | - | NPPES |
| 61942926 | Medicaid | KY | |
| 519657 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Vicco Dental Center, P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Longfield Circle, Vicco, KY 41773 Phone: 606-476-8121 Fax: 606-476-9541 |