| Randell B Brewer, DMD | |
|
14662 N Us Highway 25 E, Corbin, KY 40701-6425 | |
| (606) 526-9005 | |
| Not Available |
| Full Name | Randell B Brewer |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 14662 N Us Highway 25 E, Corbin, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518644723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10939 (Kentucky) | Primary |
| Entity Name | Grace Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568625648 PECOS PAC ID: 3870654064 Enrollment ID: O20081211000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Randell B Brewer, DMD 285 Beechwood Dr, London, KY 40744-5402 Ph: () - | Randell B Brewer, DMD 14662 N Us Highway 25 E, Corbin, KY 40701-6425 Ph: (606) 526-9005 |
Dr. Toni Mitchell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 311 Briarwood Trce, Corbin, KY 40701 Phone: 270-703-3429 | |
Dr. Jacob Deming, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1608 Cumberland Falls Hwy, Corbin, KY 40701 Phone: 606-523-2411 | |
Dr. Steven Lee Haines, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1608 Cumberland Falls Hwy, Corbin, KY 40701 Phone: 606-523-2411 | |
Dr. Stephen Tackett, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 727 W Cumberland Gap Pkwy Ste D, Corbin, KY 40701 Phone: 606-523-2000 | |
Keith Edward Gibson, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 213 S Main St, Corbin, KY 40701 Phone: 606-523-1415 Fax: 606-528-9804 | |
Dr. Katherine Lanway Whitaker, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 213 S Main St, Corbin, KY 40701 Phone: 606-523-1415 Fax: 606-528-9804 | |
Dr. Ronald Hungerbuhler, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 N Main St, Corbin, KY 40701 Phone: 606-528-6101 |