| Holton Family Dentistry, P.a. | |
|
208 W 4th St Holton KS 66436-1784 | |
| (785) 364-4636 | |
| (785) 364-4815 |
| Full Name | Holton Family Dentistry, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 208 W 4th St, Holton, Kansas |
| Authorized Official Name and Position | Marvin Heinbach (OWNER) |
| Authorized Official Contact | 7853644636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holton Family Dentistry, P.a. 208 W 4th St Holton KS 66436-1784 Ph: (785) 364-4636 | Holton Family Dentistry, P.a. 208 W 4th St Holton KS 66436-1784 Ph: (785) 364-4636 |
| NPI Number | 1811655616 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811655616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Jerry E. Young, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 West 4th Street, Holton, KS 66436 Phone: 785-364-4636 Fax: 785-364-4815 | |
Holton Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Columbine Dr, Holton, KS 66436 Phone: 785-364-3038 Fax: 785-364-3037 |