Baxter Springs Family Dentistry PA

NPI #1326621558 in Baxter Springs, Kansas

Provider Information

NPI Number: 1326621558
Entity Type: Organization
Organization Name: Baxter Springs Family Dentistry PA
Primary Specialty: Dentist
Enumeration Date: May 5, 2021
Last Updated: May 5, 2021

Practice Location

Address: 1440 PARK AVE
City: Baxter Springs
State: Kansas
ZIP Code: 66713-2727
Phone: (620) 856-2173

Authorized Official

Name: MIKE YATES
Title: COO
Phone: (918) 998-0996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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