| Peabody Dentistry Llc | |
|
504 N Poplar St Peabody KS 66866-1233 | |
| (620) 983-2285 | |
| (620) 983-2287 |
| Full Name | Peabody Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 504 N Poplar St, Peabody, Kansas |
| Authorized Official Name and Position | Heshun Chen (DENTIST) |
| Authorized Official Contact | 5094601569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peabody Dentistry Llc 324 E 2nd St Moundridge KS 67107-7164 Ph: (509) 460-1569 | Peabody Dentistry Llc 504 N Poplar St Peabody KS 66866-1233 Ph: (620) 983-2285 |
| NPI Number | 1700126042 |
|---|---|
| Provider Enumeration Date | 02/24/2013 |
| Last Update Date | 02/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700126042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60881 (Kansas) | Primary |