Alan Roy Antao, DMD is a
Dentist based in Bourbon, Indiana. Alan Roy Antao is licensed to practice in Indiana (license number 12014150A) and his current practice location is
909 N Washington St, Bourbon, Indiana. He can be reached at his office (for appointments etc.) via phone at
(574) 342-4385.
NPI number for Alan Roy Antao is 1841592235 and his current mailing address is 3136 Woodfield Dr, Kokomo, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841592235.
Provider's Profile
| Full Name | Alan Roy Antao |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 909 N Washington St, Bourbon, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841592235
- Provider Enumeration Date: 11/17/2010
- Last Update Date: 09/25/2024
Medical Identifiers
Medical identifiers for Alan Roy Antao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841592235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 122300000X | Dentist | DN21372 (Florida) | Secondary |
| 122300000X | Dentist | 12014150A (Indiana) | 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. Alan Roy Antao 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 |
Alan Roy Antao, DMD 3136 Woodfield Dr, Kokomo, IN 46902-4788 Ph: (765) 513-5700 | Alan Roy Antao, DMD 909 N Washington St, Bourbon, IN 46504-1447 Ph: (574) 342-4385 |
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