| Free State Dental | |
|
33391 Lexington Avenue Suite C De Soto KS 66018 | |
| (785) 843-2636 | |
| Not Available |
| Full Name | Free State Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 33391 Lexington Avenue, De Soto, Kansas |
| Authorized Official Name and Position | Bradley Aaron Adams (PARTNER) |
| Authorized Official Contact | 7858432636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free State Dental 4111 W 6th St Lawrence KS 66049-4609 Ph: (785) 843-2636 | Free State Dental 33391 Lexington Avenue Suite C De Soto KS 66018 Ph: (785) 843-2636 |
| NPI Number | 1912778804 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912778804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |