# YATES CENTER DENTAL LLC

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

## Provider details

- **NPI number:** 1538558135
- **Authorized official:** DR. MATTHEW SCOTT STANDRIDGE D.D.S (DENTIST/OWNER)
- **Authorized official phone:** (620) 625-2185

## Contact information

- **Practice address:** 109 W BUTLER ST, YATES CENTER, KS 66783-1259
- **Practice address phone:** (620) 625-2185
- **Practice address fax:** (620) 625-2185
- **Mailing address:** 109 W BUTLER ST, YATES CENTER, KS 66783-1259
- **Mailing address phone:** (620) 625-2185
- **Mailing address fax:** (620) 625-2185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60776 | KS | Yes |

## Other

- **Enumeration date:** 01/20/2015
- **Last updated:** 01/20/2015