| Remy H Blanchaert Jr Dds Md Pa | |
|
1919 N Webb Rd Wichita KS 67206-3405 | |
| (316) 634-1414 | |
| (316) 634-2907 |
| Full Name | Remy H Blanchaert Jr Dds Md Pa |
|---|---|
| Speciality | Dentist |
| Location | 1919 N Webb Rd, Wichita, Kansas |
| Authorized Official Name and Position | Remy H Blanchaert (OWNER) |
| Authorized Official Contact | 3166341414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Remy H Blanchaert Jr Dds Md Pa 1919 N Webb Rd Wichita KS 67206-3405 Ph: (316) 634-1414 | Remy H Blanchaert Jr Dds Md Pa 1919 N Webb Rd Wichita KS 67206-3405 Ph: (316) 634-1414 |
| NPI Number | 1497912356 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Medicare PECOS PAC ID | 5890864417 |
|---|---|
| Medicare Enrollment ID | O20080521000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497912356 | NPI | - | NPPES |
| 100420750C | Medicaid | KS | |
| 107125 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 04-31176 (Kansas) | Primary |
| Provider Name | Remy Henry Blanchaert |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1578587036 PECOS PAC ID: 8123073038 Enrollment ID: I20050314000801 |
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