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KELLY B DEETER DDS CHTD NPI 1023343803


NPI Information

NPI: 1023343803
Provider Name: KELLY B DEETER, DDS, CHTD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2300 SW 29TH
TOPEKA, KS
ZIP 66611
Phone: (785) 267-6120
Get Directions

KELLY B DEETER, DDS, CHTD is a general practice dentist in Topeka, KS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KELLY B DEETER, DDS, CHTD NPI is 1023343803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2300 SW 29TH
TOPEKA, KS
ZIP 66611-887
Phone: (785) 267-6120
Fax: (785) 267-6928

The provider's authorized official is Kelly B Deeter .
The authorized official title is Owner/president and has the following contact phone number (785) 267-6120.

The enumeration date for this NPI number is 10/12/2009 and was last updated on 10/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice4522KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14522OTHERKANSASSTATE LISENCE
21841291846OTHERKANSASNPI TYPE 1

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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