| Cedar Lodge Dental Center | |
|
1001 Cody Ave Hays KS 67601-2430 | |
| (785) 625-7369 | |
| (785) 625-7667 |
| Full Name | Cedar Lodge Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1001 Cody Ave, Hays, Kansas |
| Authorized Official Name and Position | David L Berry (PRESIDENT) |
| Authorized Official Contact | 7856257369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Lodge Dental Center 1001 Cody Ave Hays KS 67601-2430 Ph: (785) 625-7369 | Cedar Lodge Dental Center 1001 Cody Ave Hays KS 67601-2430 Ph: (785) 625-7369 |
| NPI Number | 1487751509 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487751509 | NPI | - | NPPES |
| 835408 | Other | PA | UNITED CONCORDIA DENTAL |
| 59703 | Other | KS | BCBS KS INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5950 (Kansas) | Primary |
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