| Dr Elmer H Mullins Jr, DMD | |
|
1452 Diederich Blvd, Russell, KY 41169 | |
| (606) 836-6022 | |
| (606) 836-6008 |
| Full Name | Dr Elmer H Mullins Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1452 Diederich Blvd, Russell, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770703829 | NPI | - | NPPES |
| 60036506 | Medicaid | KY | |
| 45003837 | Other | KY | EPSDT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | KY3650 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elmer H Mullins Jr, DMD 1452 Diederich Blvd, Russell, KY 41169 Ph: (606) 836-6022 | Dr Elmer H Mullins Jr, DMD 1452 Diederich Blvd, Russell, KY 41169 Ph: (606) 836-6022 |
Deanna Binion Tatterson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1409 Diederich Blvd, Russell, KY 41169 Phone: 606-836-0510 | |
Dr. Jennifer Baronis Hughes, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 972 Diederich Blvd, Russell, KY 41169 Phone: 606-833-5437 Fax: 606-833-0036 | |
Dr. Lisa Dean, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1592 Diederich Blvd, Russell, KY 41169 Phone: 606-836-9962 Fax: 606-836-4668 |