| Edwards & Wilson Periodontics, Pa | |
|
4830 Quail Crest Place Lawrence KS 66049-3838 | |
| (785) 843-4076 | |
| (785) 843-6127 |
| Full Name | Edwards & Wilson Periodontics, Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4830 Quail Crest Place, Lawrence, Kansas |
| Authorized Official Name and Position | Ashli E Gill (BILLING MANAGER) |
| Authorized Official Contact | 7858434076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards & Wilson Periodontics, Pa 4830 Quail Crest Place Lawrence KS 66049-3838 Ph: (785) 843-4076 | Edwards & Wilson Periodontics, Pa 4830 Quail Crest Place Lawrence KS 66049-3838 Ph: (785) 843-4076 |
| NPI Number | 1699884965 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 01/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699884965 | NPI | - | NPPES |
| 61063 | Other | KS | DENTIST LICENSE NUMBER |
| 1672853562 | Other | KS | NPI FOR DENTIST ADDED TO OUR PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6357 (Kansas) | Primary |
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