Great Plains Family Dentistry | |
201 W Broadway Leoti KS 67861-7012 | |
(620) 375-4533 | |
(620) 375-4588 |
Full Name | Great Plains Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 201 W Broadway, Leoti, Kansas |
Authorized Official Name and Position | Joanne Brown (DENTIST / OWNER) |
Authorized Official Contact | 6203754533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Plains Family Dentistry 201 W Broadway Leoti KS 67861-7012 Ph: (620) 375-4533 | Great Plains Family Dentistry 201 W Broadway Leoti KS 67861-7012 Ph: (620) 375-4533 |
NPI Number | 1811237837 |
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Provider Enumeration Date | 02/28/2013 |
Last Update Date | 02/28/2013 |
Identifier | Type | State | Issuer |
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1811237837 | NPI | - | NPPES |
100389050B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 60036 (Kansas) | Primary |