DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATASHA VICK, DDS

Active

LATASHA VICK, DDS is a General Dentistry healthcare provider located in BAXTER SPRINGS, Kansas. NPI 1669456364 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BAXTER SPRINGS, KS

Registration Details

NPI Number
1669456364
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2005 (20.50146237053 yrs)
Last Updated
Aug 20, 2013
Licenses
1061723 (OK)
1061723 (OK)
61068 (KS)

Practice Information

Address
2990 MILITARY AVE
BAXTER SPRINGS, KS, 667132331
Browse KS providers · Browse ZIP 66713
Phone
6208562900
Fax
6208562901
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Medical Physician Assistant
Additional Specialty
General Dentistry

Other General Dentistry Providers in BAXTER SPRINGS, KS

Name Credential NPI
JAMIE D LUNDY 1205275559
SAHER AHMED DDS 1356775696
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.