|
| |
|
4100 W Maple St C/o Family Dentistry & Preventive Care Building Wichita KS 67209-2538 | |
| (316) 530-3191 | |
| (316) 854-0821 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4100 W Maple St, Wichita, Kansas |
| Authorized Official Name and Position | Joan Hoverman (OWNER / OPERATOR) |
| Authorized Official Contact | 3165303191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4100 W Maple St C/o Family Dentistry & Preventive Care Wichita KS 67209-2538 Ph: (316) 530-3191 | 4100 W Maple St C/o Family Dentistry & Preventive Care Building Wichita KS 67209-2538 Ph: (316) 530-3191 |
| NPI Number | 1962825927 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962825927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60251 (Kansas) | Primary |
Precision Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 S Edgemoor St Ste 320, Wichita, KS 67218 Phone: 316-558-3993 Fax: 316-558-3995 | |
Dental Care Of Wichita Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5805 E Central Ave, Wichita, KS 67208 Phone: 316-684-8261 | |
Crystal Walker, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6943 W 37th St N, Wichita, KS 67205 Phone: 316-613-2077 Fax: 316-613-2969 | |
Andre Thibault, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 W Central Ave, Suite 100, Wichita, KS 67203 Phone: 316-616-1310 | |
Kenneth W. Nelson, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 N. Webb Rd, Wichita, KS 67206 Phone: 316-634-1414 Fax: 316-634-2907 | |