| Katie L. Neidig Dds, Llc | |
|
420 E Main St Mount Hope KS 67108-9459 | |
| (316) 667-2429 | |
| Not Available |
| Full Name | Katie L. Neidig Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 420 E Main St, Mount Hope, Kansas |
| Authorized Official Name and Position | Katie L Neidig (OWNER DENTIST) |
| Authorized Official Contact | 3166672429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie L. Neidig Dds, Llc 420 E Main St # 37 Mount Hope KS 67108-9459 Ph: (316) 667-2429 | Katie L. Neidig Dds, Llc 420 E Main St Mount Hope KS 67108-9459 Ph: (316) 667-2429 |
| NPI Number | 1629564547 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629564547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Randy K Newby, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 E Main St, Mount Hope, KS 67108 Phone: 316-667-2429 |