| Dentists In Lawrence Llc | |
|
831 Vermont St Lawrence KS 66044-2665 | |
| (785) 843-6060 | |
| (785) 843-4335 |
| Full Name | Dentists In Lawrence Llc |
|---|---|
| Speciality | Dentist |
| Location | 831 Vermont St, Lawrence, Kansas |
| Authorized Official Name and Position | Justin R Anderson (OWNER) |
| Authorized Official Contact | 7858436060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists In Lawrence Llc 831 Vermont St Lawrence KS 66044-2665 Ph: (785) 843-6060 | Dentists In Lawrence Llc 831 Vermont St Lawrence KS 66044-2665 Ph: (785) 843-6060 |
| NPI Number | 1447360805 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 5698195816 |
|---|---|
| Medicare Enrollment ID | O20201008003024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447360805 | NPI | - | NPPES |
| 420743 | Other | KS | BCBS OF KS PROVIDER NUMBE |
| 29713015 | Other | MO | BCBS OF KC PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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