| Moundridge Dental, P.a. | |
|
324 E 2nd St Moundridge KS 67107-7164 | |
| (620) 345-2100 | |
| (620) 345-2106 |
| Full Name | Moundridge Dental, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 324 E 2nd St, Moundridge, Kansas |
| Authorized Official Name and Position | Christopher G Cumming (PRESIDENT) |
| Authorized Official Contact | 6202736236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moundridge Dental, P.a. 1833 Norton Creek Rd Cottonwood Falls KS 66845-9888 Ph: (620) 273-6236 | Moundridge Dental, P.a. 324 E 2nd St Moundridge KS 67107-7164 Ph: (620) 345-2100 |
| NPI Number | 1699908731 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699908731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7190 (Kansas) | Primary |
Moundridge Dental Center Chartered Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 E 2nd St, Moundridge, KS 67107 Phone: 620-345-2100 Fax: 620-345-2106 |