| Fort Scott Family Dental | |
|
1115 S Main St Fort Scott KS 66701-2651 | |
| (620) 223-4448 | |
| (620) 223-9957 |
| Full Name | Fort Scott Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1115 S Main St, Fort Scott, Kansas |
| Authorized Official Name and Position | Brad Jenkins (OWNER) |
| Authorized Official Contact | 6202234448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Scott Family Dental 1115 S Main St Fort Scott KS 66701-2651 Ph: (620) 223-4448 | Fort Scott Family Dental 1115 S Main St Fort Scott KS 66701-2651 Ph: (620) 223-4448 |
| NPI Number | 1548682933 |
|---|---|
| Provider Enumeration Date | 01/20/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548682933 | NPI | - | NPPES |
| 100350890E | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7195 (Kansas) | Primary |
Advanced Dental Care Of Fort Scott Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 S Main St, Fort Scott, KS 66701 Phone: 620-223-4448 | |
Lux Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 State St, Fort Scott, KS 66701 Phone: 620-223-0130 Fax: 620-223-1276 | |
Accent Dental L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 State Street, Fort Scott, KS 66701 Phone: 620-223-0130 | |
Fort Scott Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 S Main St, Fort Scott, KS 66701 Phone: 620-223-4448 Fax: 620-223-9957 | |
Max H Patterson Dds Chartered Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Scott Ave, Fort Scott, KS 66701 Phone: 620-223-5210 Fax: 620-223-5213 |