Peabody Dentistry Llc | |
504 N Poplar St Peabody KS 66866-1233 | |
(620) 983-2285 | |
(620) 983-2287 |
Full Name | Peabody Dentistry Llc |
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Speciality | Dentist |
Location | 504 N Poplar St, Peabody, Kansas |
Authorized Official Name and Position | Heshun Chen (DENTIST) |
Authorized Official Contact | 5094601569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peabody Dentistry Llc 324 E 2nd St Moundridge KS 67107-7164 Ph: (509) 460-1569 | Peabody Dentistry Llc 504 N Poplar St Peabody KS 66866-1233 Ph: (620) 983-2285 |
NPI Number | 1700126042 |
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Provider Enumeration Date | 02/24/2013 |
Last Update Date | 02/24/2013 |
Identifier | Type | State | Issuer |
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1700126042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 60881 (Kansas) | Primary |