Dentrust Kansas, PA
NPI #1053000216 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1053000216
- Entity Type
- Organization
- Organization Name
- Dentrust Kansas, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2023
- Last Updated
- May 3, 2023
Practice Location
- Address
- 300 KANSAS AVE BLDG 700
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-1139
- Phone
- (267) 927-5000
Authorized Official
- Name
- AMANDA A CLARK
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (267) 362-5938
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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