| Eureka Family Dental | |
|
810 N Main St Eureka KS 67045-1152 | |
| (620) 583-5535 | |
| (620) 583-5755 |
| Full Name | Eureka Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 810 N Main St, Eureka, Kansas |
| Authorized Official Name and Position | Matthew Scott Standridge (DENTIST/OWNER) |
| Authorized Official Contact | 6205835535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eureka Family Dental 810 N Main St Eureka KS 67045-1152 Ph: (620) 583-5535 | Eureka Family Dental 810 N Main St Eureka KS 67045-1152 Ph: (620) 583-5535 |
| NPI Number | 1326397035 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326397035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60776 (Kansas) | Primary |
Robert M Moodydds/ Eureka Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 W 3rd St, Eureka, KS 67045 Phone: 620-583-7489 Fax: 620-583-7489 |