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NPI Code Detail

MEDICARE: DR. BILLY J METCALF DDS

MEDICARE: DR. BILLY J METCALF DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry16981TX

General Provider Information

NPI Number : 1356465074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BILLY J METCALF DDS
Provider Business Mailing Address
First Line : 4501 VAN WINKLE
Second Line :
City : AMARILLO
State : TX
Zip : 79119-6423
Country : US
Telephone Number : 806-351-0008
Fax Number : 806-351-0053
Provider Business Practice Location Address
First Line : 4501 VAN WINKLE
Second Line :
City : AMARILLO
State : TX
Zip : 79119-6423
Country : US
Telephone Number : 806-351-0008
Fax Number : 806-351-0053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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