Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAM WILEY QUILLEN JR., DMD
Active Sole ProprietorDR. SAM WILEY QUILLEN JR., DMD is a General Dentistry healthcare provider located in NEON, Kentucky. NPI 1801955133 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NEON, KY
Registration Details
- NPI Number
- 1801955133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2006 (19.721928543448 yrs)
- Last Updated
- Dec 13, 2013
- License
-
4626 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
HWY 317861 SUITE A BX 36NEON, KY, 418400036Browse KY providers · Browse ZIP 41840
- Phone
- 6068557892
- Fax
- 6068557892
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.