Organization Name: | MCPHERSON DENTAL CARE L.L.C. |
NPI Number: | 1275713687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON M JULIAN (OWNER) |
Mailing Address: | 700 N Maple St Mcpherson |
State: | KS US |
Postal Code: | 674603325 |
Phone Number: | 6202415000 |
Fax Number: | 6202415754 |
NPI Enumeration Date: | 11/14/2007 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 5447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |