# ROCK CREEK DENTAL, P.A.

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

## Provider details

- **NPI number:** 1073811063
- **Authorized official:** GABE WURDEMAN DDS (OWNER/DENTIST)
- **Authorized official phone:** (620) 364-2040

## Contact information

- **Practice address:** 311 NEOSHO ST, BURLINGTON, KS 66839-1925
- **Practice address phone:** (620) 364-2040
- **Mailing address:** 311 NEOSHO ST, BURLINGTON, KS 66839-1925
- **Mailing address phone:** (620) 364-2040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2011
- **Last updated:** 03/01/2011