John D. Alderman Dds Pa | |
111 W Main St Council Grove KS 66846-1702 | |
(620) 767-6744 | |
(620) 767-6744 |
Full Name | John D. Alderman Dds Pa |
---|---|
Speciality | Dentist |
Location | 111 W Main St, Council Grove, Kansas |
Authorized Official Name and Position | John Donald Alderman (PRESIDENT) |
Authorized Official Contact | 6207676744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John D. Alderman Dds Pa 111 W Main St Council Grove KS 66846-1702 Ph: (620) 767-6744 | John D. Alderman Dds Pa 111 W Main St Council Grove KS 66846-1702 Ph: (620) 767-6744 |
NPI Number | 1972849867 |
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Provider Enumeration Date | 12/20/2012 |
Last Update Date | 12/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972849867 | NPI | - | NPPES |
100223330A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6319 (Kansas) | Primary |