| Anthony Dental | |
|
113 N Anthony Ave Anthony KS 67003-2007 | |
| (620) 842-3844 | |
| (620) 842-4139 |
| Full Name | Anthony Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 113 N Anthony Ave, Anthony, Kansas |
| Authorized Official Name and Position | Carissa M Gill (PARTNER) |
| Authorized Official Contact | 6208423844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Dental 113 N Anthony Ave Anthony KS 67003-2007 Ph: (620) 842-3844 | Anthony Dental 113 N Anthony Ave Anthony KS 67003-2007 Ph: (620) 842-3844 |
| NPI Number | 1902867047 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902867047 | NPI | - | NPPES |
| 1301234 | Other | KS | UNITED CONCORDIA |
| 420738 | Other | KS | BLUE CROSS BLUE SHIELD |
| 103017 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Walker Family Dental, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 E Main St, Anthony, KS 67003 Phone: 620-842-5936 Fax: 620-842-3432 |