| Prairie Rock Dental, P.a. | |
|
8123 E Harry St Wichita KS 67207-4603 | |
| (316) 686-3397 | |
| Not Available |
| Full Name | Prairie Rock Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8123 E Harry St, Wichita, Kansas |
| Authorized Official Name and Position | Scott Guest (COO) |
| Authorized Official Contact | 9136450079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Rock Dental, P.a. 1915 S Ohio Ct Ste 259 Salina KS 67401-6602 Ph: (785) 404-2070 | Prairie Rock Dental, P.a. 8123 E Harry St Wichita KS 67207-4603 Ph: (316) 686-3397 |
| NPI Number | 1710588900 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710588900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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