| Emerald Dental P.a. | |
|
1629 Poyntz Ave Manhattan KS 66502-4148 | |
| (785) 776-1771 | |
| Not Available |
| Full Name | Emerald Dental P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1629 Poyntz Ave, Manhattan, Kansas |
| Authorized Official Name and Position | Creed Cardon (OWNER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Dental P.a. 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Emerald Dental P.a. 1629 Poyntz Ave Manhattan KS 66502-4148 Ph: (785) 776-1771 |
| NPI Number | 1386308492 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386308492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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