| Leavenworth Family Dental, Pa | |
|
4500 S 4th St Leavenworth KS 66048-5041 | |
| (913) 682-1550 | |
| (913) 682-1545 |
| Full Name | Leavenworth Family Dental, Pa |
|---|---|
| Speciality | Dentist |
| Location | 4500 S 4th St, Leavenworth, Kansas |
| Authorized Official Name and Position | John Mcknight (OWNER) |
| Authorized Official Contact | 9136821550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leavenworth Family Dental, Pa 4500 S 4th St Leavenworth KS 66048-5041 Ph: (913) 682-1550 | Leavenworth Family Dental, Pa 4500 S 4th St Leavenworth KS 66048-5041 Ph: (913) 682-1550 |
| NPI Number | 1871255943 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871255943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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