| Jordan Weber Dds | |
|
314 Neosho St Burlington KS 66839-1926 | |
| (620) 364-8414 | |
| (620) 622-9444 |
| Full Name | Jordan Weber Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 314 Neosho St, Burlington, Kansas |
| Authorized Official Name and Position | Jordan Weber (OWNER) |
| Authorized Official Contact | 6203648414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Weber Dds 314 Neosho St Burlington KS 66839-1926 Ph: (620) 364-8414 | Jordan Weber Dds 314 Neosho St Burlington KS 66839-1926 Ph: (620) 364-8414 |
| NPI Number | 1578166039 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578166039 | NPI | - | NPPES |
| 201246090A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Rock Creek Dental, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Neosho St, Burlington, KS 66839 Phone: 620-364-2040 | |
Larry C. Hargreaves, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Neosho St, Burlington, KS 66839 Phone: 620-364-8414 Fax: 620-364-8416 |