Dr David Conrad Andersen, DDS | |
2051 N State St, Iola, KS 66749 | |
(620) 365-6400 | |
(620) 365-6402 |
Full Name | Dr David Conrad Andersen |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 2051 N State St, Iola, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932376910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 9032 (Colorado) | Secondary |
1223G0001X | Dentist - General Practice | 60926 (Kansas) | Primary |
Entity Name | Community Health Center Of Southeast Kansas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
Mailing Address | Practice Location Address |
---|---|
Dr David Conrad Andersen, DDS 3011 N Michigan St, Pittsburg, KS 66762-2546 Ph: (620) 231-9873 | Dr David Conrad Andersen, DDS 2051 N State St, Iola, KS 66749 Ph: (620) 365-6400 |
Dr. John Anthony Travers Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 208 S Washington Ave, Iola, KS 66749 Phone: 620-365-6720 Fax: 620-365-2041 | |
Dr. Ryan Nicholas Coffield, DDS Dentist Medicare: Medicare Enrolled Practice Location: 415 N. Washington Ave, Iola, KS 66749 Phone: 620-365-6262 Fax: 620-365-6866 | |
Dr. Jerry Dean Chambers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 423 North Washington Ave, Iola, KS 66749 Phone: 620-365-3991 Fax: 620-365-3999 | |
Dr. James Stephen Oakson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1408 East St, Suite C, Iola, KS 66749 Phone: 620-380-6600 Fax: 620-380-6215 | |
Dr. Vernon George Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 415 N Washington Ave, Iola, KS 66749 Phone: 620-365-6262 Fax: 620-365-6866 |