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800 Walnut Street Valley Falls KS 66088 | |
| (785) 945-6248 | |
| (785) 945-6249 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 Walnut Street, Valley Falls, Kansas |
| Authorized Official Name and Position | David H Jaeger (OWNER) |
| Authorized Official Contact | 8168137917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 343 Tonganoxie KS 66086 Ph: (913) 417-7333 | 800 Walnut Street Valley Falls KS 66088 Ph: (785) 945-6248 |
| NPI Number | 1417469834 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417469834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60803 (Kansas) | Primary |
Dr Bruce L Tillery Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Walnut St, Valley Falls, KS 66088 Phone: 785-945-6248 Fax: 785-945-4097 |