Antioch Dentistry | |
5754 Antioch Rd Merriam KS 66202-2015 | |
(913) 671-7066 | |
(913) 671-7058 |
Full Name | Antioch Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 5754 Antioch Rd, Merriam, Kansas |
Authorized Official Name and Position | Taylor Sutherland (OWNER) |
Authorized Official Contact | 9136717066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Antioch Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Antioch Dentistry 5754 Antioch Rd Merriam KS 66202-2015 Ph: (913) 671-7066 |
NPI Number | 1720490261 |
---|---|
Provider Enumeration Date | 06/02/2014 |
Last Update Date | 05/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720490261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |