# JDAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Main Street Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093325235
- **Authorized official:** DARPANA PATEL DDS (OWNER)
- **Authorized official phone:** (913) 206-7734

## Contact information

- **Practice address:** 1326 S MAIN ST, OTTAWA, KS 66067-3527
- **Practice address phone:** (785) 242-4875
- **Mailing address:** 1326 S MAIN ST, OTTAWA, KS 66067-3527
- **Mailing address phone:** (785) 242-4875

## Taxonomy

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

## Other

- **Enumeration date:** 08/03/2020
- **Last updated:** 08/03/2020