| Trevor S Harris Dds Pa | |
|
102 W Kansas Ave Arkansas City KS 67005-1531 | |
| (620) 442-1820 | |
| Not Available |
| Full Name | Trevor S Harris Dds Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 W Kansas Ave, Arkansas City, Kansas |
| Authorized Official Name and Position | Trevor S Harris (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6204421820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor S Harris Dds Pa 102 W Kansas Ave Arkansas City KS 67005-1531 Ph: (620) 442-1820 | Trevor S Harris Dds Pa 102 W Kansas Ave Arkansas City KS 67005-1531 Ph: (620) 442-1820 |
| NPI Number | 1992381222 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/18/2021 |
| Medicare PECOS PAC ID | 3577970961 |
|---|---|
| Medicare Enrollment ID | O20210331002376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992381222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Trevor Scott Harris |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336757897 PECOS PAC ID: 4486061876 Enrollment ID: I20210331002478 |
Rogers Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1939 N 11th St, Arkansas City, KS 67005 Phone: 620-442-5660 Fax: 620-442-5682 |