| Dr. Melissa J House Dds Pa | |
|
1615 E 61st St N Ste 300 Park City KS 67219-1964 | |
| (316) 260-6868 | |
| (316) 260-6830 |
| Full Name | Dr. Melissa J House Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1615 E 61st St N Ste 300, Park City, Kansas |
| Authorized Official Name and Position | Melissa Jane House (OWNER) |
| Authorized Official Contact | 3162606868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Melissa J House Dds Pa 1615 E 61st St N Ste 300 Park City KS 67219-1964 Ph: (316) 260-6868 | Dr. Melissa J House Dds Pa 1615 E 61st St N Ste 300 Park City KS 67219-1964 Ph: (316) 260-6868 |
| NPI Number | 1538300207 |
|---|---|
| Provider Enumeration Date | 03/10/2009 |
| Last Update Date | 11/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538300207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60413 (Kansas) | Primary |