| Goddard Orthodontics Pa | |
|
19931 W Kellogg Dr Goddard KS 67052-8863 | |
| (316) 722-6717 | |
| Not Available |
| Full Name | Goddard Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 19931 W Kellogg Dr, Goddard, Kansas |
| Authorized Official Name and Position | Levi Hansen (DOCTOR) |
| Authorized Official Contact | 3167226717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goddard Orthodontics Pa 308 N Harrison Ave Sedgwick KS 67135-9477 Ph: (316) 652-5321 | Goddard Orthodontics Pa 19931 W Kellogg Dr Goddard KS 67052-8863 Ph: (316) 722-6717 |
| NPI Number | 1114481322 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114481322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |