# MARVIN G CLOTHIER DDS PA

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

## Provider details

- **NPI number:** 1457327405
- **Authorized official:** DR. MARVIN G CLOTHIER DDS (PRES)
- **Authorized official phone:** (620) 231-4140

## Contact information

- **Practice address:** 611 N BROADWAY, SUITE B, PITTSBURG, KS 66762
- **Practice address phone:** (620) 231-4140
- **Practice address fax:** (620) 231-4202
- **Mailing address:** 611 N BROADWAY, SUITE B, PITTSBURG, KS 66762
- **Mailing address phone:** (620) 231-4140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4664 | KS | Yes |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 08/22/2020