Doctor Name: | DR. EDWARD WESTON SANTEE |
NPI Number: | 1295091064 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | |
Business Practice Address: | 1625 Saint Louis Ave Fort Worth, TX - 761047635 |
Business Phone Number: | 8179206936 |
Business Fax Number: | |
Mailing Address: | 1438 E 600th Rd, LAWRENCE |
State: | KS |
Postal Code: | 660499114 |
Phone Number: | 7857668583 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2012 |
NPI Last Update Date: | 04/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |