Organization
VICCO DENTAL CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY SCOTT BROWNING DMD (PRESIDENT)
(606) 476-8121
Entity
Organization
Contact information
Practice address
35 LONGFIELD CIRCLE, VICCO, KY 41773
(606) 476-8121
(606) 476-9541
Mailing address
PO BOX 100, VICCO, KY 41773
(606) 476-8128
(606) 476-9541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519657
UNITED CONCORDIA
—
05
—
61942926
—
KY
Enumeration date
09/06/2006
Last updated
08/22/2020
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