# WAMEGO DENTAL CENTER, P.A.

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

## Provider details

- **NPI number:** 1578654612
- **Authorized official:** DR. STEVEN R. BATES D.D.S. (PRESIDENT)
- **Authorized official phone:** (785) 456-2330

## Contact information

- **Practice address:** 503 ELM, BOX 26, SUITE 1, WAMEGO, KS 66547-0026
- **Practice address phone:** (785) 456-2330
- **Practice address fax:** (785) 456-9740
- **Mailing address:** 503 ELM, BOX 26, SUITE 1, WAMEGO, KS 66547-0026
- **Mailing address phone:** (785) 456-2330
- **Mailing address fax:** (785) 456-9740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020