# HAROLD A SMALL DDS PA

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

## Provider details

- **NPI number:** 1235111667
- **Authorized official:** DR. HAROLD ANDREW SMALL DDS (PRESIDENT)
- **Authorized official phone:** (620) 845-6417

## Contact information

- **Practice address:** 3 S MAIN ST, CALDWELL, KS 67022-1531
- **Practice address phone:** (620) 845-6417
- **Practice address fax:** (620) 845-6422
- **Mailing address:** 3 S MAIN ST, CALDWELL, KS 67022-1531
- **Mailing address phone:** (620) 845-6417
- **Mailing address fax:** (620) 845-6422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6646 | KS | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 08/22/2020