| Shawnee Dental | |
|
13430 W 62nd Ter Shawnee KS 66216-1784 | |
| (913) 962-4400 | |
| (913) 962-1144 |
| Full Name | Shawnee Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13430 W 62nd Ter, Shawnee, Kansas |
| Authorized Official Name and Position | Irwin N Boe (DENTIST) |
| Authorized Official Contact | 9139624400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Dental 13430 W 62nd Ter Shawnee KS 66216-1784 Ph: (913) 962-4400 | Shawnee Dental 13430 W 62nd Ter Shawnee KS 66216-1784 Ph: (913) 962-4400 |
| NPI Number | 1306039987 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306039987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60303 (Kansas) | Primary |
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