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Contact Information

DODGE CITY DENTAL CARE
2300 N 14TH STREET
SUITE 202
DODGE CITY, KS67801
 Phone: 620-225-2650
 Fax: 620-225-7722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DODGE CITY DENTAL CARE

NPI # 1477621159
LBN Legal business name DODGE CITY DENTAL CARE
Authorized official TONI MYERS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
License # 60130
KS Other 116721 BCBS OF KS
KS Other KS1417934 UNITED CONCORDIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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