| R. Mike Mcbride, Dds, Pa | |
|
647 Country Club Terrace Lawrence KS 66049-2450 | |
| (785) 841-8210 | |
| (785) 841-4495 |
| Full Name | R. Mike Mcbride, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 647 Country Club Terrace, Lawrence, Kansas |
| Authorized Official Name and Position | Robert Michael Mcbirde (OWNER/DENTIST) |
| Authorized Official Contact | 7858418210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Mike Mcbride, Dds, Pa 647 Country Club Terrace Lawrence KS 66049-2450 Ph: (785) 841-8210 | R. Mike Mcbride, Dds, Pa 647 Country Club Terrace Lawrence KS 66049-2450 Ph: (785) 841-8210 |
| NPI Number | 1619062205 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619062205 | NPI | - | NPPES |
| 7987 | Other | KS | BCBS OF KANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5473 (Kansas) | Primary |
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