Blair Edgington, | |
4121 W 83rd St, Ste 137, Prairie Village, KS 66208-5323 | |
(913) 381-4700 | |
(913) 381-2673 |
Full Name | Blair Edgington |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 4121 W 83rd St, Prairie Village, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689833519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 60554 (Kansas) | Secondary |
1223G0001X | Dentist - General Practice | 2009008936 (Missouri) | Primary |
Entity Name | Village Complete Dentistry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811571896 PECOS PAC ID: 7810363256 Enrollment ID: O20221026001222 |
Mailing Address | Practice Location Address |
---|---|
Blair Edgington, 4121 W 83rd St, Ste 137, Prairie Village, KS 66208-5323 Ph: (913) 381-4700 | Blair Edgington, 4121 W 83rd St, Ste 137, Prairie Village, KS 66208-5323 Ph: (913) 381-4700 |
Dr. Susan Keil Kessler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4121 W 83rd St, Suite 200, Prairie Village, KS 66208 Phone: 913-385-2324 Fax: 913-648-8645 | |
Dr. Michelle Lynn Petersen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8010 State Line Rd, Suite 210, Prairie Village, KS 66208 Phone: 913-341-2200 Fax: 913-648-7605 | |
Dr. Eugene Francis Mcgill, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3700 W 83rd St, Suite 208, Prairie Village, KS 66208 Phone: 913-381-9880 Fax: 913-381-3877 | |
Dr. Clifford Winters Vanblarcom, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6834 Linden St, Prairie Village, KS 66208 Phone: 913-432-5025 | |
Dr. Bradley Michel Herman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3700 W 83rd St Ste 215, Prairie Village, KS 66208 Phone: 913-381-5292 | |
Dr. Tricia Marie Halford, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3700 W 83rd St Ste 108, Prairie Village, KS 66208 Phone: 913-341-9600 Fax: 913-341-6328 | |
Dr. Scott Bradley Craven, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5000 W 95th St, Suite 300, Prairie Village, KS 66207 Phone: 913-649-0310 |