| Midwest Dental | |
|
1700 E James St Derby KS 67037-3543 | |
| (316) 788-3736 | |
| (316) 788-4158 |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1700 E James St, Derby, Kansas |
| Authorized Official Name and Position | Andrew J Nolan (ATTORNEY) |
| Authorized Official Contact | 3162919542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental 1700 E James St Derby KS 67037-3543 Ph: (316) 788-3736 | Midwest Dental 1700 E James St Derby KS 67037-3543 Ph: (316) 788-3736 |
| NPI Number | 1417222993 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417222993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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