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Latasha Vick, DDS
General Practice Dentistry in Baxter Springs, Kansas
NPI 1669456364

Latasha Vick is a General Practice Dentistry based in Pittsburg, KS and is specialized in General Practice. Latasha Vick practices in Baxter Springs, KS and has the professional credentials of DDS. The NPI Number for Latasha Vick is 1669456364 and holds a License No. 1061723 (Kansas).

The current practice location address for Latasha Vick is 2990 Military Ave, Baxter Springs, KS and can be reached out via phone at 620-856-2900 and via fax at 620-856-2901.

Location: 2990 Military Ave, Baxter Springs, KS, 66762-2546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669456364
Provider Name
Latasha Vick
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2990 Military Ave, Baxter Springs, KS, 66762-2546
Phone Number
620-856-2900
Fax Number
620-856-2901
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1061723 01 OK PA LICENSE
200022980B 05 OK
200022980C 05 OK
institution
Provider Business Practice Location Address Details
Address
2990 Military Ave
City
Baxter Springs
State
Kansas
Zip
66713-2331
Phone Number
620-856-2900
Fax Number
620-856-2901
person
Provider Business Mailing Address Details
Address
2990 Military Ave
City
Baxter Springs
State
Kansas
Zip
66713-2331
Phone Number
620-856-2900
Fax Number
620-856-2901
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
61068 (Kansas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1061723 (Oklahoma)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1061723 (Oklahoma)
Definition
Definition to come...
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