| Gregory J Partridge Dds, Estate | |
|
841 S Hillside St Wichita KS 67211-3005 | |
| (316) 681-1530 | |
| (316) 682-5231 |
| Full Name | Gregory J Partridge Dds, Estate |
|---|---|
| Speciality | Dentist |
| Location | 841 S Hillside St, Wichita, Kansas |
| Authorized Official Name and Position | Teresa L Rose (OWNER) |
| Authorized Official Contact | 4252387426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory J Partridge Dds, Estate 841 S Hillside St Wichita KS 67211-3005 Ph: (316) 681-1530 | Gregory J Partridge Dds, Estate 841 S Hillside St Wichita KS 67211-3005 Ph: (316) 681-1530 |
| NPI Number | 1740617612 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 10/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740617612 | NPI | - | NPPES |
| 10222990A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6123 (Kansas) | Primary |
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