| Fort Scott Family Dental | |
|
1115 S Main St Fort Scott KS 66701-2651 | |
| (620) 223-4448 | |
| (620) 223-9957 |
| Full Name | Fort Scott Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1115 S Main St, Fort Scott, Kansas |
| Authorized Official Name and Position | Timothy P. Crawford (DENTIST/OWNER) |
| Authorized Official Contact | 6202234448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Scott Family Dental 1115 S Main St Fort Scott KS 66701-2651 Ph: (620) 223-4448 | Fort Scott Family Dental 1115 S Main St Fort Scott KS 66701-2651 Ph: (620) 223-4448 |
| NPI Number | 1700290491 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 06/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700290491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60757 (Kansas) | Primary |
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