| Jordan D Haedt Dds Llc | |
|
514 Delaware St Hiawatha KS 66434-2118 | |
| (785) 742-2165 | |
| Not Available |
| Full Name | Jordan D Haedt Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 514 Delaware St, Hiawatha, Kansas |
| Authorized Official Name and Position | Jordan Danell Haedt (DENTIST OWNER) |
| Authorized Official Contact | 7857422165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan D Haedt Dds Llc 514 Delaware St Hiawatha KS 66434-2118 Ph: (785) 742-2165 | Jordan D Haedt Dds Llc 514 Delaware St Hiawatha KS 66434-2118 Ph: (785) 742-2165 |
| NPI Number | 1497269963 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497269963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61189 (Kansas) | Primary |
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