Blackwood Family Dentistry | |
501 Garfield St Quinter KS 67752-9795 | |
(785) 754-2441 | |
(785) 754-2466 |
Full Name | Blackwood Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 501 Garfield St, Quinter, Kansas |
Authorized Official Name and Position | Eric Blackwood (DENTIST) |
Authorized Official Contact | 7857542441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blackwood Family Dentistry Po Box 557 501 Garfield Quinter KS 67752-0557 Ph: (785) 754-2441 | Blackwood Family Dentistry 501 Garfield St Quinter KS 67752-9795 Ph: (785) 754-2441 |
NPI Number | 1497839013 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497839013 | NPI | - | NPPES |
103514 | Other | KS | DORAL LOCATION NUMBER |
116736 | Other | KS | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 60189 (Kansas) | Primary |