# DR. MELISSA J HOUSE DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park City Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538300207
- **Authorized official:** DR. MELISSA JANE HOUSE DDS (OWNER)
- **Authorized official phone:** (316) 260-6868

## Contact information

- **Practice address:** 1615 E 61ST ST N STE 300, PARK CITY, KS 67219-1964
- **Practice address phone:** (316) 260-6868
- **Practice address fax:** (316) 260-6830
- **Mailing address:** 1615 E 61ST ST N STE 300, PARK CITY, KS 67219-1964
- **Mailing address phone:** (316) 260-6868
- **Mailing address fax:** (316) 260-6830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60413 | KS | Yes |

## Other

- **Enumeration date:** 03/10/2009
- **Last updated:** 11/20/2020