Park City Dental | |
1615 E 61st St N Ste 300 Park City KS 67219-1964 | |
(316) 260-6868 | |
(316) 260-6830 |
Full Name | Park City Dental |
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Speciality | Dentist - General Practice |
Location | 1615 E 61st St N Ste 300, Park City, Kansas |
Authorized Official Name and Position | Melissa Jane House (OWNER) |
Authorized Official Contact | 3162606868 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Park City Dental 1615 E 61st St N Ste 300 Park City KS 67219-1964 Ph: (316) 260-6868 | Park City Dental 1615 E 61st St N Ste 300 Park City KS 67219-1964 Ph: (316) 260-6868 |
NPI Number | 1538300207 |
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Provider Enumeration Date | 03/10/2009 |
Last Update Date | 11/20/2020 |
Identifier | Type | State | Issuer |
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1538300207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 60413 (Kansas) | Primary |