Carriage Family Dental, PA
NPI #1053995613 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1053995613
- Entity Type
- Organization
- Organization Name
- Carriage Family Dental, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 10, 2021
- Last Updated
- Feb 14, 2023
Practice Location
- Address
- 726 SHAWNEE ST
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-1804
- Phone
- (913) 682-2595
Authorized Official
- Name
- LIZZIE YOUNG
- Title
- CREDENTIALING MGR
- Phone
- (405) 233-8873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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