| Holton Dental Inc. | |
|
1100 Columbine Dr Holton KS 66436-8841 | |
| (785) 364-3038 | |
| (785) 364-3037 |
| Full Name | Holton Dental Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 Columbine Dr, Holton, Kansas |
| Authorized Official Name and Position | Alex C Gilliland (OWNER) |
| Authorized Official Contact | 7853643038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holton Dental Inc. 1100 Columbine Dr Holton KS 66436-8841 Ph: (785) 364-3038 | Holton Dental Inc. 1100 Columbine Dr Holton KS 66436-8841 Ph: (785) 364-3038 |
| NPI Number | 1720398241 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720398241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60480 (Kansas) | Primary |
Jerry E. Young, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 West 4th Street, Holton, KS 66436 Phone: 785-364-4636 Fax: 785-364-4815 | |
Holton Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 W 4th St, Holton, KS 66436 Phone: 785-364-4636 Fax: 785-364-4815 |