Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY BLAICH D.D.S., P.A.
Active OrganizationGARY BLAICH D.D.S., P.A. is a Preferred Provider Organization organization located in COFFEYVILLE, Kansas. NPI 1619191251 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · COFFEYVILLE, KS
Registration Details
- NPI Number
- 1619191251
- Provider Type
- Organization
- NPI Issued
- Apr 13, 2007 (19.361868588552 yrs)
- Last Updated
- Aug 22, 2020
- License
-
6743 (KS)
Practice Information
- Address
-
1509 W 4TH STCOFFEYVILLE, KS, 673373307Browse KS providers · Browse ZIP 67337
- Phone
- 6202510606
- Primary Specialty
-
Preferred Provider Organization
305R00000X
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.