# NEW IMAGE DENTAL CARE

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

## Provider details

- **NPI number:** 1225136849
- **Authorized official:** JEFFREY PIERCE (DENTIST)
- **Authorized official phone:** (620) 582-2423

## Contact information

- **Practice address:** 207 S. WASHINGTON, COLDWATER, KS 67029
- **Practice address phone:** (620) 582-2423
- **Mailing address:** PO BOX 65, COLDWATER, KS 67029-0065
- **Mailing address phone:** (320) 582-2423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6988 | KS | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 17474 | BLUE CROSS BLUE SHIELD OF | KS |