Elkhart Dental Llc | |
509 S. Cosmos Elkhart KS 67950 | |
(620) 697-2253 | |
Not Available |
Full Name | Elkhart Dental Llc |
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Speciality | Dentist - General Practice |
Location | 509 S. Cosmos, Elkhart, Kansas |
Authorized Official Name and Position | David James Hart (OWNER) |
Authorized Official Contact | 6207925523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elkhart Dental Llc Po Box 68 Elkhart KS 67950-0068 Ph: () - | Elkhart Dental Llc 509 S. Cosmos Elkhart KS 67950 Ph: (620) 697-2253 |
NPI Number | 1407219017 |
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Provider Enumeration Date | 03/31/2016 |
Last Update Date | 03/31/2016 |
Identifier | Type | State | Issuer |
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1407219017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 60403 (Kansas) | Primary |