# DENNIS T. MYERS D.D.S.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013107218
- **Authorized official:** KIM KAY MANTHE (OFFICE MANAGER)
- **Authorized official phone:** (785) 985-2555

## Contact information

- **Practice address:** 102 E. WALNUT STREET, TROY, KS 66087
- **Practice address phone:** (785) 985-2555
- **Practice address fax:** (785) 985-3662
- **Mailing address:** 102 E. WALNUT STREET, P.O. BOX 586, TROY, KS 66087
- **Mailing address phone:** (785) 985-2555
- **Mailing address fax:** (785) 985-3662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4781 | KS | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 07/25/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8341 | BCBS OF KS | KS |
