| Antioch Dentistry Pa | |
|
5754 Antioch Rd Merriam KS 66202-2015 | |
| (913) 671-7066 | |
| (913) 671-7058 |
| Full Name | Antioch Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5754 Antioch Rd, Merriam, Kansas |
| Authorized Official Name and Position | Taylor Sutherland (OWNER) |
| Authorized Official Contact | 9136717066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antioch Dentistry Pa Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Antioch Dentistry Pa 5754 Antioch Rd Merriam KS 66202-2015 Ph: (913) 671-7066 |
| NPI Number | 1720490261 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720490261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |