# ROSSVILLE FAMILY DENTAL, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rossville Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356794549
- **Authorized official:** SCOTT GUEST (COO)
- **Authorized official phone:** (913) 268-1337

## Contact information

- **Practice address:** 428 N MAIN ST, ROSSVILLE, KS 66533-9000
- **Practice address phone:** (785) 584-6101
- **Mailing address:** 1700 E IRON AVE, SALINA, KS 67401-3401
- **Mailing address phone:** (785) 404-2070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 61174 | KS | Yes |

## Other

- **Enumeration date:** 07/22/2016
- **Last updated:** 07/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 61174 | STATE LICENSE | KS |