| Austin T Rickabaugh DDS LLC | |
|
8615 Rosehill Rd Ste 204 Lenexa KS 66215-2897 | |
| (620) 212-3156 | |
| Not Available |
| Full Name | Austin T Rickabaugh DDS LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8615 Rosehill Rd Ste 204, Lenexa, Kansas |
| Authorized Official Name and Position | Austin Rickabaugh (DENTIST/OWNER) |
| Authorized Official Contact | 6202123156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin T Rickabaugh DDS LLC 9821 Outlook Dr Overland Park KS 66207-2848 | Austin T Rickabaugh DDS LLC 8615 Rosehill Rd Ste 204 Lenexa KS 66215-2897 Ph: (620) 212-3156 |
| NPI Number | 1669163622 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669163622 | NPI | - | NPPES |
| 1487262283 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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