| Tanglewood Family Dentistry | |
|
1700 James St Derby KS 67037-3543 | |
| (316) 788-3736 | |
| (316) 788-4158 |
| Full Name | Tanglewood Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1700 James St, Derby, Kansas |
| Authorized Official Name and Position | Dennis C. Mcallister (PRESIDENT) |
| Authorized Official Contact | 3167883736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanglewood Family Dentistry Po Box 207 1700 E. James Derby KS 67037-0207 Ph: (316) 788-3736 | Tanglewood Family Dentistry 1700 James St Derby KS 67037-3543 Ph: (316) 788-3736 |
| NPI Number | 1790871176 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790871176 | NPI | - | NPPES |
| 794415 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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