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208 W Ross Blvd Suite B Dodge City KS 67801-2133 | |
| (620) 225-5682 | |
| (620) 225-5383 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 W Ross Blvd, Dodge City, Kansas |
| Authorized Official Name and Position | Richard J Stein (OWNER) |
| Authorized Official Contact | 6202255682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
208 W Ross Blvd Suite B Dodge City KS 67801-2133 Ph: (620) 225-5682 | 208 W Ross Blvd Suite B Dodge City KS 67801-2133 Ph: (620) 225-5682 |
| NPI Number | 1679554414 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679554414 | NPI | - | NPPES |
| 0100222390B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5891 (Kansas) | Primary |
Dodge City Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 N 14th Ave, Dodge City, KS 67801 Phone: 620-227-7521 | |
Austin N. Hrencher, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 W Ross Blvd Ste B, Dodge City, KS 67801 Phone: 620-225-5682 Fax: 620-225-5682 | |
Medical Heights Dental Center, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W Ross Blvd Ste 2c, Dodge City, KS 67801 Phone: 620-225-6555 |