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Organization
R. MICHAEL MCBRIDE, DDS, PA
Active
Organization
R. MICHAEL MCBRIDE, DDS, PA
Active
Other names
R. Mike McBride, DDS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL MCBIRDE D.D.S. (OWNER/DENTIST)
(785) 841-8210
Entity
Organization
Contact information
Practice address
647 COUNTRY CLUB TERRACE, LAWRENCE, KS 66049-2450
(785) 841-8210
(785) 841-4495
Mailing address
647 COUNTRY CLUB TERRACE, LAWRENCE, KS 66049-2450
(785) 841-8210
(785) 841-4495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5473
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7987
BCBS OF KANSAS
KS
Enumeration date
10/03/2006
Last updated
08/22/2020
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