Allison Levans, Dmd, Llc | |
109 W Main St Lyons KS 67554-1927 | |
(620) 257-5104 | |
Not Available |
Full Name | Allison Levans, Dmd, Llc |
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Speciality | Dentist |
Location | 109 W Main St, Lyons, Kansas |
Authorized Official Name and Position | Allison Levans (OWNER/DENTIST) |
Authorized Official Contact | 6202575104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Allison Levans, Dmd, Llc 109 W Main St Lyons KS 67554-1927 Ph: (620) 257-5104 | Allison Levans, Dmd, Llc 109 W Main St Lyons KS 67554-1927 Ph: (620) 257-5104 |
NPI Number | 1609192301 |
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Provider Enumeration Date | 04/20/2010 |
Last Update Date | 05/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609192301 | NPI | - | NPPES |
1649461906 | Other | NPI | |
100334960A | Medicaid | KS | |
1215998018 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3559 (Kansas) | Secondary |
122300000X | Dentist | 60590 (Kansas) | Primary |
Lyons Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W Commercial St, Lyons, KS 67554 Phone: 620-257-5193 |