| Oral And Maxillofacial Allocations Llc | |
|
1919 N Webb Rd Wichita KS 67206-3405 | |
| (316) 634-1414 | |
| (316) 634-2907 |
| Full Name | Oral And Maxillofacial Allocations Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1919 N Webb Rd, Wichita, Kansas |
| Authorized Official Name and Position | Roy E Cole (OWNER) |
| Authorized Official Contact | 3166341414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Allocations Llc 1919 North Webb Road Wichita KS 67206-3405 Ph: (316) 634-1414 | Oral And Maxillofacial Allocations Llc 1919 N Webb Rd Wichita KS 67206-3405 Ph: (316) 634-1414 |
| NPI Number | 1760699086 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760699086 | NPI | - | NPPES |
| 1851585681 | Other | KS | BCBS |
| 1851585681 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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