|
| |
|
1015 Melvin St Marion KS 66861-1235 | |
| (620) 382-2520 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1015 Melvin St, Marion, Kansas |
| Authorized Official Name and Position | Ty M Reusser (DENTIST/OWNER) |
| Authorized Official Contact | 6203822520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1015 Melvin St Marion KS 66861-1235 Ph: (620) 382-2520 | 1015 Melvin St Marion KS 66861-1235 Ph: (620) 382-2520 |
| NPI Number | 1326490160 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326490160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7010 (Kansas) | Primary |
Marion Family Smiles, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Melvin St, Marion, KS 66861 Phone: 620-382-2520 |