| Grant Gastineau, Dds, Llc | |
|
32 W Main St Chanute KS 66720-1701 | |
| (620) 431-4823 | |
| Not Available |
| Full Name | Grant Gastineau, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 32 W Main St, Chanute, Kansas |
| Authorized Official Name and Position | Grant Gastineau (CHIEF OFFICER) |
| Authorized Official Contact | 6204314823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Gastineau, Dds, Llc 32 W Main St Chanute KS 66720-1701 Ph: () - | Grant Gastineau, Dds, Llc 32 W Main St Chanute KS 66720-1701 Ph: (620) 431-4823 |
| NPI Number | 1922536580 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 05/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922536580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Kansas) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | 61398 (Kansas) | Primary |
Kenneth L Williams D.d.s. P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2607 S Santa Fe Ave, Chanute, KS 66720 Phone: 620-431-3000 Fax: 620-431-6122 | |
David M Jones, Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 W Main, Chanute, KS 66720 Phone: 562-043-1482 Fax: 620-431-6959 |