| John C. Patton, Dds Chartered | |
|
1507 W 12th Ave Emporia KS 66801-2457 | |
| (620) 342-0673 | |
| (620) 343-6310 |
| Full Name | John C. Patton, Dds Chartered |
|---|---|
| Speciality | Dentist |
| Location | 1507 W 12th Ave, Emporia, Kansas |
| Authorized Official Name and Position | John C. Patton (OWNER/PRESIDENT) |
| Authorized Official Contact | 6203420673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C. Patton, Dds Chartered 1507 W 12th Ave Emporia KS 66801-2457 Ph: () - | John C. Patton, Dds Chartered 1507 W 12th Ave Emporia KS 66801-2457 Ph: (620) 342-0673 |
| NPI Number | 1659617082 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659617082 | NPI | - | NPPES |
| 100092380A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5186 (Kansas) | Primary |
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