# PERLITA M. DUTTON, DDS, PA

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

## Provider details

- **NPI number:** 1417165713
- **Authorized official:** DR. PERLITA M DUTTON DDS (PRESIDENT)
- **Authorized official phone:** (620) 626-4700

## Contact information

- **Practice address:** 23 PROFESSIONAL DR, SUITE A, LIBERAL, KS 67901-1803
- **Practice address phone:** (620) 626-4700
- **Practice address fax:** (620) 624-2474
- **Mailing address:** 23 PROFESSIONAL DR, SUITE A, LIBERAL, KS 67901-1803
- **Mailing address phone:** (620) 626-4700
- **Mailing address fax:** (620) 624-2474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5895 | KS | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 420776 | BCBS OF KS | KS |