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Contact Information

RENATA L PROSE, DDS
801 N MAPLE ST
MCPHERSON, KS67460
 Phone: 620-241-6512
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RENATA L PROSE · (Female)

NPI # 1225144256
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/22/2006
Last updated 11/23/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 9879
  • KS License # KS60689
  • OH License # 30-022383
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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