Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COUNTRYSIDE DENTISTRY
Active OrganizationCOUNTRYSIDE DENTISTRY is a Dentist organization located in FRONTENAC, Kansas. NPI 1457411928 is currently active in the NPPES registry. Verify at CMS.
Dentist · FRONTENAC, KS
Registration Details
- NPI Number
- 1457411928
- Provider Type
- Organization
- NPI Issued
- Dec 12, 2006 (19.484954280991 yrs)
- Last Updated
- Aug 22, 2020
- Licenses
-
60336 (KS)60140 (KS)
Practice Information
- Address
-
1034 NORTH HIGHWAY 69FRONTENAC, KS, 66763Browse KS providers · Browse ZIP 66763
- Phone
- 6202322273
- Fax
- 6202329308
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.