| John D. Alderman Dds Pa | |
|
111 W Main St Council Grove KS 66846-1702 | |
| (620) 767-6744 | |
| (620) 767-6744 |
| Full Name | John D. Alderman Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 111 W Main St, Council Grove, Kansas |
| Authorized Official Name and Position | John Donald Alderman (PRESIDENT) |
| Authorized Official Contact | 6207676744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John D. Alderman Dds Pa 111 W Main St Council Grove KS 66846-1702 Ph: (620) 767-6744 | John D. Alderman Dds Pa 111 W Main St Council Grove KS 66846-1702 Ph: (620) 767-6744 |
| NPI Number | 1972849867 |
|---|---|
| Provider Enumeration Date | 12/20/2012 |
| Last Update Date | 12/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972849867 | NPI | - | NPPES |
| 100223330A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6319 (Kansas) | Primary |