| 316 Family Dental Llc | |
|
606 N Main St Ste 102 Newton KS 67114-2219 | |
| (316) 283-0110 | |
| (316) 283-0736 |
| Full Name | 316 Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 606 N Main St Ste 102, Newton, Kansas |
| Authorized Official Name and Position | Andrew J. Mettman (OWNER/DENTIST) |
| Authorized Official Contact | 3166501774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 316 Family Dental Llc 1046 S Bedford Ter Wichita KS 67207-4304 Ph: (316) 650-1774 | 316 Family Dental Llc 606 N Main St Ste 102 Newton KS 67114-2219 Ph: (316) 283-0110 |
| NPI Number | 1679187686 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 01/01/2022 |
| Medicare PECOS PAC ID | 9335535483 |
|---|---|
| Medicare Enrollment ID | O20220330000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679187686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Andrew J Mettman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982010229 PECOS PAC ID: 4082913884 Enrollment ID: I20220330000334 |
Gregg And Bette Ptrshp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Main St, Suite 104, Newton, KS 67114 Phone: 316-283-2690 | |
Dr. Rj Tippin Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 Victoria Rd, Newton, KS 67114 Phone: 316-283-2970 Fax: 316-283-5093 | |
Dr Pamela R Mccullough Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 N Main St, Newton, KS 67114 Phone: 316-283-0870 Fax: 316-282-2500 | |
Terry L. Davidson, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 6th St, Newton, KS 67114 Phone: 316-283-0110 Fax: 316-283-0736 | |
Sand Creek Family Dental, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Allison St, Newton, KS 67114 Phone: 316-283-2273 |