# FLINT HILLS DENTAL CARE, PA

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

## Provider details

- **NPI number:** 1558576934
- **Authorized official:** DR. RONALD D BARDEN DDS (PRESIDENT)
- **Authorized official phone:** (620) 343-8000

## Contact information

- **Practice address:** 2518 W 15TH AVE, EMPORIA, KS 66801-6102
- **Practice address phone:** (620) 343-8000
- **Practice address fax:** (620) 343-9511
- **Mailing address:** 2518 W 15TH AVE, EMPORIA, KS 66801-6102
- **Mailing address phone:** (620) 343-8000
- **Mailing address fax:** (620) 343-9511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4991 | KS | Yes |
| 1223G0001X | General Practice Dentistry | 60357 | KS | — |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 421764 | BLUE CROSS BLUE SHIELD | KS |
