Dentrust Kansas, Pa | |
300 Kansas Ave Bldg 700 Fort Leavenworth KS 66027-1139 | |
(267) 927-5000 | |
Not Available |
Full Name | Dentrust Kansas, Pa |
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Speciality | Dentist - General Practice |
Location | 300 Kansas Ave Bldg 700, Fort Leavenworth, Kansas |
Authorized Official Name and Position | Amanda A Clark (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 2673625938 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentrust Kansas, Pa 6097 Easton Rd Pipersville PA 18947-1810 Ph: (267) 362-5938 | Dentrust Kansas, Pa 300 Kansas Ave Bldg 700 Fort Leavenworth KS 66027-1139 Ph: (267) 927-5000 |
NPI Number | 1053000216 |
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Provider Enumeration Date | 05/03/2023 |
Last Update Date | 05/03/2023 |
Identifier | Type | State | Issuer |
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1053000216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |