| Smith Center Dental Clinic | |
|
130 W Kansas Ave Smith Center KS 66967-2013 | |
| (785) 282-6979 | |
| (785) 282-3068 |
| Full Name | Smith Center Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 130 W Kansas Ave, Smith Center, Kansas |
| Authorized Official Name and Position | Gary L Fredrickson (OWNER) |
| Authorized Official Contact | 7852826979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Center Dental Clinic 130 W Kansas Ave Smith Center KS 66967-2013 Ph: (785) 282-6979 | Smith Center Dental Clinic 130 W Kansas Ave Smith Center KS 66967-2013 Ph: (785) 282-6979 |
| NPI Number | 1841442597 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 10/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841442597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Kansas) | Primary |
Smith Center Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Kansas Ave, Smith Center, KS 66967 Phone: 785-282-6979 Fax: 785-282-3068 |