| Dayspring Dental | |
|
402 Cumberland Ave Williamsburg KY 40769 | |
| (606) 549-2656 | |
| (606) 549-2855 |
| Full Name | Dayspring Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 Cumberland Ave, Williamsburg, Kentucky |
| Authorized Official Name and Position | John D Harris (CREDENTIALING) |
| Authorized Official Contact | 4237848492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayspring Dental 107 S Main St P.o. Box 540 Jellico TN 37762-2154 Ph: (423) 784-8492 | Dayspring Dental 402 Cumberland Ave Williamsburg KY 40769 Ph: (606) 549-2656 |
| NPI Number | 1871631804 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 12/17/2021 |
| Medicare PECOS PAC ID | 7214990746 |
|---|---|
| Medicare Enrollment ID | O20041105000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871631804 | NPI | - | NPPES |
| 31000946 | Medicaid | KY | |
| 18C7 | Other | KY | ANTHEM BCBS |
| 7890332500 | Other | KY | NP GROUP FOR KY MEDICAID |
| 206742 | Other | KY | BLACK LUNG |
| Provider Name | Cathleen C Suto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013902527 PECOS PAC ID: 8224103692 Enrollment ID: I20080925000469 |
| Provider Name | James Wendell Killian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649273467 PECOS PAC ID: 8729111844 Enrollment ID: I20100727000026 |
| Provider Name | Geogy Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891798492 PECOS PAC ID: 3971795873 Enrollment ID: I20101207000749 |
| Provider Name | Lindsey Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952772394 PECOS PAC ID: 3173824182 Enrollment ID: I20151216002480 |
| Provider Name | Doris W Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427501295 PECOS PAC ID: 2466731682 Enrollment ID: I20161110002243 |
| Provider Name | Megan Rae Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639617939 PECOS PAC ID: 4880967371 Enrollment ID: I20170905002516 |
| Provider Name | Tiffany Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811379266 PECOS PAC ID: 6901188226 Enrollment ID: I20190222001719 |
| Provider Name | Dillon Chandler Reed |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326530908 PECOS PAC ID: 5496142929 Enrollment ID: I20220430000180 |
| Provider Name | Robin Elaine Bonnell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518189679 PECOS PAC ID: 1658748082 Enrollment ID: I20221027002177 |
| Provider Name | Anne Steptoe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386171254 PECOS PAC ID: 1557632858 Enrollment ID: I20230418002149 |
| Provider Name | Christy Renee Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275247306 PECOS PAC ID: 3375905367 Enrollment ID: I20230911003740 |
| Provider Name | Kenneth Alcorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346621240 PECOS PAC ID: 6204169667 Enrollment ID: I20240118004050 |
Kentucky Rural Health Information Technology Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 N 2nd St, Williamsburg, KY 40769 Phone: 606-657-2030 | |
Careplus Medical Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3080 N Highway 25 W, Williamsburg, KY 40769 Phone: 606-825-5010 | |
Grace Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49 W Sycamore St, Williamsburg, KY 40769 Phone: 606-400-6362 Fax: 606-526-8607 | |
Dayspring Auxiliary Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 965 S Highway 25 W, Williamsburg, KY 40769 Phone: 606-549-2656 | |
Careplus Rural Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 998 S Highway 25 W, Suite 1, Williamsburg, KY 40769 Phone: 606-549-1183 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 965 S Highway 25 W, Williamsburg, KY 40769 Phone: 844-435-0900 Fax: 270-858-4029 | |
Williamsburg Family Medicine Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 475 N Highway 25 W Ste 100, Williamsburg, KY 40769 Phone: 606-549-2933 |