| Organization Name: | ACCENT DENTAL L.L.C. |
| NPI Number: | 1598811671 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GINA ROBINSON (OFFICE MANAGER) |
| Mailing Address: | 9 E Wall St Fort Scott |
| State: | KS US |
| Postal Code: | 667011422 |
| Phone Number: | 6202230130 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 6182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |