Tanglewood Family Dentistry | |
1700 James St Derby KS 67037-3543 | |
(316) 788-3736 | |
(316) 788-4158 |
Full Name | Tanglewood Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 1700 James St, Derby, Kansas |
Authorized Official Name and Position | Dennis C. Mcallister (PRESIDENT) |
Authorized Official Contact | 3167883736 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tanglewood Family Dentistry Po Box 207 1700 E. James Derby KS 67037-0207 Ph: (316) 788-3736 | Tanglewood Family Dentistry 1700 James St Derby KS 67037-3543 Ph: (316) 788-3736 |
NPI Number | 1790871176 |
---|---|
Provider Enumeration Date | 10/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790871176 | NPI | - | NPPES |
794415 | Other | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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