| Lyons Dental Care, Llc | |
|
220 W Commercial St Lyons KS 67554-2716 | |
| (620) 257-5193 | |
| Not Available |
| Full Name | Lyons Dental Care, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 220 W Commercial St, Lyons, Kansas |
| Authorized Official Name and Position | Matthew Aaron Perry (DR) |
| Authorized Official Contact | 6202575193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyons Dental Care, Llc Po Box 696 Lyons KS 67554-0696 Ph: (620) 257-5193 | Lyons Dental Care, Llc 220 W Commercial St Lyons KS 67554-2716 Ph: (620) 257-5193 |
| NPI Number | 1043315971 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 05/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043315971 | NPI | - | NPPES |
| 8289 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100095610A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4387 (Kansas) | Primary |
Allison Levans, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W Main St, Lyons, KS 67554 Phone: 620-257-5104 |