| Lundgrin Dental Association Chtd. | |
|
909 E Wayne Ave Salina KS 67401-2201 | |
| (785) 825-5473 | |
| (785) 825-8965 |
| Full Name | Lundgrin Dental Association Chtd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 909 E Wayne Ave, Salina, Kansas |
| Authorized Official Name and Position | Jerry R Lundgrin (PRESIDENT) |
| Authorized Official Contact | 7858255473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lundgrin Dental Association Chtd. Po Box 1424 Salina KS 67402-1424 Ph: (785) 825-5473 | Lundgrin Dental Association Chtd. 909 E Wayne Ave Salina KS 67401-2201 Ph: (785) 825-5473 |
| NPI Number | 1245367077 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245367077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4696 (Kansas) | Primary |
| 1223G0001X | Dentist - General Practice | 6929 (Kansas) | Secondary |
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