| Wisdom Family Dentistry, P.a. | |
|
712 6th St Clay Center KS 67432-2915 | |
| (785) 632-2400 | |
| (785) 632-5893 |
| Full Name | Wisdom Family Dentistry, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 712 6th St, Clay Center, Kansas |
| Authorized Official Name and Position | Eric J Wisdom (OWNER) |
| Authorized Official Contact | 7856322400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Family Dentistry, P.a. 712 6th St Clay Center KS 67432-2915 Ph: (785) 632-2400 | Wisdom Family Dentistry, P.a. 712 6th St Clay Center KS 67432-2915 Ph: (785) 632-2400 |
| NPI Number | 1487670089 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487670089 | NPI | - | NPPES |
| 100095990B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5188A (Kansas) | Primary |
Clay Center Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Liberty St, Clay Center, KS 67432 Phone: 785-632-3126 | |
R.d. Hammel Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Liberty St, Clay Center, KS 67432 Phone: 785-632-3126 Fax: 785-632-2948 |