| |
1309 S Us Old Highway 75 Sabetha KS 66534 | |
(785) 284-2323 | |
(785) 284-0075 |
Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 1309 S Us Old Highway 75, Sabetha, Kansas |
Authorized Official Name and Position | Elizabeth Louise Tedman (DENTIST-OWNER) |
Authorized Official Contact | 7852842323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1309 S Us Old Highway 75 Sabetha KS 66534 Ph: (785) 284-2323 | 1309 S Us Old Highway 75 Sabetha KS 66534 Ph: (785) 284-2323 |
NPI Number | 1457920548 |
---|---|
Provider Enumeration Date | 06/22/2021 |
Last Update Date | 07/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457920548 | NPI | - | NPPES |
1316932320 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |