Sam Wiley Quillen Jr., DMD

General Practice Dentistry · Neon, KY

Individual Active NPI

NPI number 1801955133

Practice location

Hwy 317
861 Suite a BX 36
Neon, KY 41840-0036
Phone
(606) 855-7892
Fax
(606) 855-7892

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NPI record

NPI
1801955133
Entity type
Individual (Type 1)
Enumeration date
December 6, 2006
Last updated
December 13, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4626 KY

Mailing address

PO Box 36
861 Suite a
Neon, KY 41840-0036
Phone
(606) 855-7892
Fax
(606) 855-7892

About Dr. Quillen

Sam Wiley Quillen Jr., DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is Hwy 317, 861 Suite a BX 36, Neon, KY 41840-0036. The NPI number 1801955133 was assigned on December 6, 2006 and the record was last updated on December 13, 2013.

Dr. Quillen lists a license in the registry: #4626 (KY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sam Wiley Quillen Jr., DMD?

The NPI number is 1801955133.

What is the phone number of Dr. Quillen?

The phone number listed for the practice location is (606) 855-7892.

Where is Dr. Quillen located?

Hwy 317, 861 Suite a BX 36, Neon, KY 41840-0036.

What is the taxonomy code for Dr. Quillen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.