| Marian Dental Clinic - Scl Health | |
|
3164 Se 6th Ave Topeka KS 66607-2204 | |
| (785) 233-2800 | |
| (785) 233-5116 |
| Full Name | Marian Dental Clinic - Scl Health |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3164 Se 6th Ave, Topeka, Kansas |
| Authorized Official Name and Position | Michele Andrea Surber (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9133210820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Dental Clinic - Scl Health 3164 Se 6th Ave Topeka KS 66607-2204 Ph: (785) 233-2800 | Marian Dental Clinic - Scl Health 3164 Se 6th Ave Topeka KS 66607-2204 Ph: (785) 233-2800 |
| NPI Number | 1063577922 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063577922 | NPI | - | NPPES |
| 100327610A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | KS22002779 (Kansas) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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