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Blackwood Family Dentistry
Dental Clinic/Center in Quinter, Kansas
NPI 1497839013

Blackwood Family Dentistry is a Dental Clinic/Center based in Quinter, KS and is specialized in Dental. Blackwood Family Dentistry practices in Quinter, KS. The NPI Number for Blackwood Family Dentistry is 1497839013 and holds a License No. 60189 (Kansas).

The current practice location address for Blackwood Family Dentistry is 501 Garfield St, Quinter, KS and can be reached out via phone at 785-754-2441 and via fax at 785-754-2466.

Location: 501 Garfield St, Quinter, KS, 67752-0557
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497839013
Provider Name
Blackwood Family Dentistry
Credential
Provider Entity Type
Organization
Address
501 Garfield St, Quinter, KS, 67752-0557
Phone Number
785-754-2441
Fax Number
785-754-2466
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103514 01 KS DORAL LOCATION NUMBER
116736 01 KS BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
501 Garfield St
City
Quinter
State
Kansas
Zip
67752-9795
Phone Number
785-754-2441
Fax Number
785-754-2466
person
Provider Business Mailing Address Details
Address
501 Garfield St
City
Quinter
State
Kansas
Zip
67752-9795
Phone Number
785-754-2441
Fax Number
785-754-2466
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
60189 (Kansas)
Definition
Definition to come...
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