Mclouth Family Dental | |
609 East Lake Street Mclouth KS 66054 | |
(913) 796-6113 | |
(913) 796-6098 |
Full Name | Mclouth Family Dental |
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Speciality | Dentist - General Practice |
Location | 609 East Lake Street, Mclouth, Kansas |
Authorized Official Name and Position | David H Jaeger (OWNER) |
Authorized Official Contact | 8168137917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mclouth Family Dental Po Box 343 Tonganoxie KS 66086 Ph: (913) 417-7333 | Mclouth Family Dental 609 East Lake Street Mclouth KS 66054 Ph: (913) 796-6113 |
NPI Number | 1174035596 |
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Provider Enumeration Date | 10/25/2017 |
Last Update Date | 10/25/2017 |
Identifier | Type | State | Issuer |
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1174035596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 60803 (Kansas) | Primary |