| Yates Center Dental Llc | |
|
109 W Butler St Yates Center KS 66783-1259 | |
| (620) 625-2185 | |
| (620) 625-2185 |
| Full Name | Yates Center Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 W Butler St, Yates Center, Kansas |
| Authorized Official Name and Position | Matthew Scott Standridge (DENTIST/OWNER) |
| Authorized Official Contact | 6206252185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yates Center Dental Llc 109 W Butler St Yates Center KS 66783-1259 Ph: (620) 625-2185 | Yates Center Dental Llc 109 W Butler St Yates Center KS 66783-1259 Ph: (620) 625-2185 |
| NPI Number | 1538558135 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538558135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60776 (Kansas) | Primary |
Southeast Kansas Mental Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W Butler St, Yates Center, KS 66783 Phone: 620-625-2185 |