| The Smile Centre | |
|
309 S 2nd St Leavenworth KS 66048-2803 | |
| (913) 651-9800 | |
| (913) 651-8559 |
| Full Name | The Smile Centre |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 309 S 2nd St, Leavenworth, Kansas |
| Authorized Official Name and Position | Jennifer Ann Kirwan (DENTIST) |
| Authorized Official Contact | 9136519800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Centre 309 S 2nd St Leavenworth KS 66048-2803 Ph: (913) 651-9800 | The Smile Centre 309 S 2nd St Leavenworth KS 66048-2803 Ph: (913) 651-9800 |
| NPI Number | 1649674144 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649674144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Kansas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (Kansas) | Secondary |
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