T.a. Rainbolt, Dds, P.a.

NPI #1700847043 in Ottawa, Kansas

Provider Information

NPI Number: 1700847043
Entity Type: Organization
Organization Name: T.a. Rainbolt, Dds, P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 28, 2006
Last Updated: Dec 10, 2014

Practice Location

Address: 1334 S. MAIN STREET
City: Ottawa
State: Kansas
ZIP Code: 66067
Phone: (785) 242-5753

Authorized Official

Name: THOMAS A. RAINBOLT, DDS
Title: PRESIDENT
Phone: (785) 841-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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