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DOUGLAS COUNTY DENTAL CLINIC INC NPI 1396734737


NPI Information

NPI: 1396734737
Provider Name: DOUGLAS COUNTY DENTAL CLINIC, INC
Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
2210 YALE RD
LAWRENCE, KS
ZIP 66049
Phone: (785) 312-7770
Get Directions

DOUGLAS COUNTY DENTAL CLINIC, INC is a dental public health dentist in Lawrence, KS. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DOUGLAS COUNTY DENTAL CLINIC, INC NPI is 1396734737. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2210 YALE RD
LAWRENCE, KS
ZIP 66049-647
Phone: (785) 312-7770
Fax: (785) 312-9447

The provider's authorized official is Julie Meredith Branstrom .
The authorized official title is Executive Director and has the following contact phone number (785) 312-7770.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 11/5/2014.


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
11223D0001XDentistDental Public Health60218KANSASYes

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
1100414900AMEDICAIDKANSAS
2103395MEDICAIDKANSAS

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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