| S Kirk Vincent D.D.S., L.C. | |
|
4811 Bob Billings Parkway Suite A Lawrence KS 66049 | |
| (785) 841-2902 | |
| (785) 841-5312 |
| Full Name | S Kirk Vincent D.D.S., L.C. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4811 Bob Billings Parkway, Lawrence, Kansas |
| Authorized Official Name and Position | Rhonda Vincent (OFFICE MANAGER) |
| Authorized Official Contact | 7858412902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Kirk Vincent D.D.S., L.C. 4811 Bob Billings Parkway Suite A Lawrence KS 66049 Ph: (785) 841-2902 | S Kirk Vincent D.D.S., L.C. 4811 Bob Billings Parkway Suite A Lawrence KS 66049 Ph: (785) 841-2902 |
| NPI Number | 1114106739 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 11/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114106739 | NPI | - | NPPES |
| 420714 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6362 (Kansas) | Primary |
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