FREE STATE DENTAL NPI 1992940332

NPI Information

FREE STATE DENTAL is a general practice dentist in Lawrence, 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. FREE STATE DENTAL NPI is 1992940332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4111 W 6TH ST
LAWRENCE, KS
ZIP 66049-609
Phone: (785) 843-2636
Fax: (785) 838-9577

The provider's authorized official is Bradley Aaron Adams .
The authorized official title is Partner and has the following contact phone number (785) 843-2636.

The enumeration date for this NPI number is 12/15/2008 and was last updated on 1/1/2024.

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:

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