Roy E Cole Dds Md Pa | |
1919 N Webb Rd Wichita KS 67206-3405 | |
(316) 634-1414 | |
(316) 634-2709 |
Full Name | Roy E Cole Dds Md Pa |
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Speciality | Dentist |
Location | 1919 N Webb Rd, Wichita, Kansas |
Authorized Official Name and Position | Roy E Cole (OWNER) |
Authorized Official Contact | 3166341414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roy E Cole Dds Md Pa 1919 N Webb Rd Wichita KS 67206-3405 Ph: (316) 634-1414 | Roy E Cole Dds Md Pa 1919 N Webb Rd Wichita KS 67206-3405 Ph: (316) 634-1414 |
NPI Number | 1679894356 |
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Provider Enumeration Date | 06/17/2010 |
Last Update Date | 06/17/2010 |
Medicare PECOS PAC ID | 4486788791 |
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Medicare Enrollment ID | O20100820001101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679894356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 60187 (Kansas) | Primary |
Provider Name | Roy E Cole |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1427079979 PECOS PAC ID: 7113824285 Enrollment ID: I20031217000101 |
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