| Tonganoxie Family Dentistry | |
|
609 East Lake Street Mclouth KS 66054 | |
| (913) 796-6113 | |
| (913) 796-6098 |
| Full Name | Tonganoxie Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 609 East Lake Street, Mclouth, Kansas |
| Authorized Official Name and Position | David H Jaeger (OWNER) |
| Authorized Official Contact | 8168137917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonganoxie Family Dentistry Po Box 343 Tonganoxie KS 66086 Ph: (913) 417-7333 | Tonganoxie Family Dentistry 609 East Lake Street Mclouth KS 66054 Ph: (913) 796-6113 |
| NPI Number | 1174035596 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174035596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60803 (Kansas) | Primary |