Bryan T Kendricks, DMD, MD is a
Oral & Maxillofacial Surgery based in Dothan, Alabama. Bryan T Kendricks is licensed to practice in Alabama (license number D007143D) and his current practice location is
Alabama Center For Oral Surgery And Dental Implants, 188 N Foster St Suite 203, Dothan, Alabama. He can be reached at his office (for appointments etc.) via phone at
(334) 697-6453.
NPI number for Bryan T Kendricks is 1477087898 and his current mailing address is 188 N Foster St Suite 203, Dothan, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477087898.
Healthcare Provider's Profile
Full Name | Bryan T Kendricks |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | Alabama Center For Oral Surgery And Dental Implants, Dothan, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477087898
- Provider Enumeration Date: 04/12/2017
- Last Update Date: 09/08/2023
Medical Identifiers
Medical identifiers for Bryan T Kendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477087898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 9978 (Kentucky) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | D007143D (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan T Kendricks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bryan T Kendricks, DMD, MD 188 N Foster St Suite 203, Dothan, AL 36303 Ph: (334) 697-6453 | Bryan T Kendricks, DMD, MD Alabama Center For Oral Surgery And Dental Implants, 188 N Foster St Suite 203, Dothan, AL 36303 Ph: (334) 697-6453 |
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