| Alexis Mckendall, DDS | |
|
409 Roland Ave, Owenton, KY 40359-1401 | |
| (502) 484-5888 | |
| (859) 567-1253 |
| Full Name | Alexis Mckendall |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 409 Roland Ave, Owenton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932411667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 26422 (Texas) | Secondary |
| 122300000X | Dentist | 10133 (Kentucky) | Primary |
| Entity Name | Triad Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831311299 PECOS PAC ID: 4082798699 Enrollment ID: O20100806000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Mckendall, DDS 8000 N Stadium Dr # 26, Houston, TX 77054-1823 Ph: (713) 780-5680 | Alexis Mckendall, DDS 409 Roland Ave, Owenton, KY 40359-1401 Ph: (502) 484-5888 |
Dr. Brock R Ward, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 330 W Seminary St, Owenton, KY 40359 Phone: 502-484-0091 Fax: 502-484-0091 | |
Dr. Joy Charlene Arnold Morse, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 116 N Madison St, Owenton, KY 40359 Phone: 502-484-5590 Fax: 502-484-5590 | |
Dr. Leigh M Ward, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 330 W Seminary St, Owenton, KY 40359 Phone: 502-484-0091 Fax: 502-484-0091 |