| Dentrust Kansas, Pa | |
|
300 Kansas Ave Bldg 700 Fort Leavenworth KS 66027-1139 | |
| (267) 927-5000 | |
| Not Available |
| Full Name | Dentrust Kansas, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 Kansas Ave Bldg 700, Fort Leavenworth, Kansas |
| Authorized Official Name and Position | Amanda A Clark (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 2673625938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentrust Kansas, Pa 6097 Easton Rd Pipersville PA 18947-1810 Ph: (267) 362-5938 | Dentrust Kansas, Pa 300 Kansas Ave Bldg 700 Fort Leavenworth KS 66027-1139 Ph: (267) 927-5000 |
| NPI Number | 1053000216 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053000216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |