COUNTRY CLUB DENTAL PA NPI 1699137109

NPI Information

COUNTRY CLUB DENTAL PA 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. COUNTRY CLUB DENTAL PA NPI is 1699137109. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Adventure Dental And Vision.

The provider's business location address is:

400 SW 29TH ST
SUITE M
TOPEKA, KS
ZIP 66611-164
Phone: (785) 783-5981
Fax: (785) 783-5982

The provider's authorized official is Shaun Urbanozo .
The authorized official title is Credentialing Manager and has the following contact phone number (719) 323-2362.

The enumeration date for this NPI number is 3/23/2016 and was last updated on 10/22/2019.

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:

Other Identifiers

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