Organization
BRIAN L. HEADRICK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L HEADRICK DDS (DENTIST)
(620) 873-2802
Entity
Organization
Contact information
Practice address
120 S FOWLER ST, MEADE, KS 67864-6404
(620) 873-2802
(620) 873-5308
Mailing address
PO BOX 516, MEADE, KS 67864-0516
(620) 873-2802
(620) 873-5308
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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