Brandon R. Wilcox, D.d.s., P.c. | |
916 W 10th St Alliance NE 69301-2858 | |
(308) 762-6131 | |
(308) 762-6132 |
Full Name | Brandon R. Wilcox, D.d.s., P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 916 W 10th St, Alliance, Nebraska |
Authorized Official Name and Position | Brandon Rodney Wilcox (DENTIST/OWNER) |
Authorized Official Contact | 3087626131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brandon R. Wilcox, D.d.s., P.c. 916 W 10th St Alliance NE 69301-2858 Ph: (308) 762-6131 | Brandon R. Wilcox, D.d.s., P.c. 916 W 10th St Alliance NE 69301-2858 Ph: (308) 762-6131 |
NPI Number | 1699068411 |
---|---|
Provider Enumeration Date | 05/26/2011 |
Last Update Date | 06/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699068411 | NPI | - | NPPES |
100259327-00 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6926 (Nebraska) | Primary |
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Alliance Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 W 10th St, Alliance, NE 69301 Phone: 308-762-6131 Fax: 308-762-6132 | |
Alliance Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2308 Box Butte Ave., Alliance, NE 69301 Phone: 308-762-6354 |