| Southwind Oral And Facial Surgery Llc | |
|
2301 N. Waldron Hutchinson KS 67502-1133 | |
| (620) 663-1141 | |
| (620) 663-1373 |
| Full Name | Southwind Oral And Facial Surgery Llc |
|---|---|
| Speciality | Dentist |
| Location | 2301 N. Waldron, Hutchinson, Kansas |
| Authorized Official Name and Position | Jared Dye (OWNER) |
| Authorized Official Contact | 6206631141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwind Oral And Facial Surgery Llc 2301 N. Waldron Hutchinson KS 67502-1133 Ph: (620) 663-1141 | Southwind Oral And Facial Surgery Llc 2301 N. Waldron Hutchinson KS 67502-1133 Ph: (620) 663-1141 |
| NPI Number | 1093818478 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 12/21/2020 |
| Medicare PECOS PAC ID | 7517378524 |
|---|---|
| Medicare Enrollment ID | O20201124000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093818478 | NPI | - | NPPES |
| 022955 | Other | KS | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6423 (Kansas) | Primary |
| Provider Name | Jared E Dye |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710270590 PECOS PAC ID: 4688989569 Enrollment ID: I20201229002482 |
| Provider Name | David Olatunji Omole |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528622735 PECOS PAC ID: 7214264225 Enrollment ID: I20241010001065 |
Rumordental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 E 17th Ave, Hutchinson, KS 67501 Phone: 844-651-0572 | |
Raymond A Kurowski, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E 30th Ave, Suite B, Hutchinson, KS 67502 Phone: 620-663-9136 Fax: 866-453-3079 | |
John D Meschke Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Compound Drive, Hutchinson, KS 67502 Phone: 620-662-6667 Fax: 620-662-5303 | |
Hutchinson Orthodontics Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Compound Dr, Hutchinson, KS 67502 Phone: 316-652-5321 | |
Grant D. Ringler, D.d.s., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3008 Garden Grove Pkwy, Hutchinson, KS 67502 Phone: 620-669-0835 Fax: 620-669-8740 | |
John F. Dahm, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2411 N Main St, Hutchinson, KS 67502 Phone: 620-665-5582 Fax: 620-665-6073 |