National Provider Identifier Database

SABETHA DENTAL LLC
Dental


Contact Information

SABETHA DENTAL LLC
1309 S US OLD HIGHWAY 75
SABETHA, KS66534
Phone: 785-284-2323
Fax: 785-284-0075
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for SABETHA DENTAL LLC

NPI Number 1457920548
Legal business name
LBN
SABETHA DENTAL LLC
Authorized official ELIZABETH TEDMAN - (DENTIST-OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/22/2021
Last updated 07/31/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 1316932320

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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