Free State Dental
Dentist, General Practice in Lawrence, KS. Organization (NPI-2).
NPI number1992940332
StatusActive
Last updated in NPPESJan 1, 2024
Details
- NPI
- 1992940332
- Entity type
- Organization (NPI-2)
- Legal business name
- Free State Dental
- Organization subpart
- No
- Enumeration date
- Dec 15, 2008
- Certification date
- Jan 1, 2024
- Last updated
- Jan 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
4111 W 6th StLawrence, KS 66049-4609
Phone 785-843-2636 · Fax 785-838-9577
Mailing address
4111 W 6th St Ste ALawrence, KS 66049-4609
Phone 785-843-2636 · Fax 785-838-9577
Authorized official
Bradley Aaron Adams
Partner
7858432636
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