| Moundridge Dental Center Chartered | |
|
324 E 2nd St Moundridge KS 67107-7164 | |
| (620) 345-2100 | |
| (620) 345-2106 |
| Full Name | Moundridge Dental Center Chartered |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 324 E 2nd St, Moundridge, Kansas |
| Authorized Official Name and Position | Jay Warren Hildreth (OWNER) |
| Authorized Official Contact | 7854567083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moundridge Dental Center Chartered 5566 Maefield Dr Ste B Wamego KS 66547-9109 Ph: (785) 456-7083 | Moundridge Dental Center Chartered 324 E 2nd St Moundridge KS 67107-7164 Ph: (620) 345-2100 |
| NPI Number | 1538469671 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 10/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538469671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60728 (Kansas) | Primary |
Moundridge Dental, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 E 2nd St, Moundridge, KS 67107 Phone: 620-345-2100 Fax: 620-345-2106 |