Tiny Teeth Pediatric Dentistry | |
3933 N Maize Rd Suite 200 Maize KS 67101-9618 | |
(316) 202-0140 | |
(316) 202-0141 |
Full Name | Tiny Teeth Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 3933 N Maize Rd, Maize, Kansas |
Authorized Official Name and Position | Matthew Healy (PRESIDENT) |
Authorized Official Contact | 3162020140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tiny Teeth Pediatric Dentistry 3933 N Maize Rd Suite 200 Maize KS 67101-9618 Ph: (316) 202-0140 | Tiny Teeth Pediatric Dentistry 3933 N Maize Rd Suite 200 Maize KS 67101-9618 Ph: (316) 202-0140 |
NPI Number | 1770014904 |
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Provider Enumeration Date | 03/21/2017 |
Last Update Date | 03/21/2017 |
Identifier | Type | State | Issuer |
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1770014904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | 60502 (Kansas) | Primary |