| Countryside Dentistry | |
|
1034 North Highway 69 Frontenac KS 66763 | |
| (620) 232-2273 | |
| (620) 232-9308 |
| Full Name | Countryside Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1034 North Highway 69, Frontenac, Kansas |
| Authorized Official Name and Position | Rexanna Jo Knapp (OFFICE MANAGER) |
| Authorized Official Contact | 6202322273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Dentistry Po Box 973 Frontenac KS 66763 Ph: (620) 232-2273 | Countryside Dentistry 1034 North Highway 69 Frontenac KS 66763 Ph: (620) 232-2273 |
| NPI Number | 1457411928 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457411928 | NPI | - | NPPES |
| 30137 | Other | KS | DELTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60140 (Kansas) | Primary |
| 122300000X | Dentist | 60336 (Kansas) | Secondary |
Jill Saia Pile Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 E Mckay St, Frontenac, KS 66763 Phone: 620-231-7242 Fax: 620-231-2702 |