| Personalized Family Dental Care, P.a. | |
|
10 E 9th St Suite C-d Lawrence KS 66044-2621 | |
| (785) 749-2525 | |
| (785) 749-9524 |
| Full Name | Personalized Family Dental Care, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10 E 9th St, Lawrence, Kansas |
| Authorized Official Name and Position | John Haskell Hay (OWNER) |
| Authorized Official Contact | 7857492525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Family Dental Care, P.a. 10 E 9th St Suite C-d Lawrence KS 66044-2621 Ph: (785) 749-2525 | Personalized Family Dental Care, P.a. 10 E 9th St Suite C-d Lawrence KS 66044-2621 Ph: (785) 749-2525 |
| NPI Number | 1962417766 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962417766 | NPI | - | NPPES |
| 1494001 | Other | KS | UNITED CONCORDIA |
| 1494001 | Other | KS | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6380 (Kansas) | Primary |
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