| T.a. Rainbolt, Dds, P.a. | |
|
1334 S. Main Street Ottawa KS 66067 | |
| (785) 242-5753 | |
| (785) 242-8359 |
| Full Name | T.a. Rainbolt, Dds, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1334 S. Main Street, Ottawa, Kansas |
| Authorized Official Name and Position | Thomas A. Rainbolt (PRESIDENT) |
| Authorized Official Contact | 7858413311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T.a. Rainbolt, Dds, P.a. 1425 Wakarusa Drive Suite A Lawrence KS 66049 Ph: (785) 841-3311 | T.a. Rainbolt, Dds, P.a. 1334 S. Main Street Ottawa KS 66067 Ph: (785) 242-5753 |
| NPI Number | 1700847043 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700847043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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