# SALINA RIVERSIDE DENTAL CARE, P. A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jeff, Koksal, D.D.S., P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629098462
- **Authorized official:** MR. JEFFREY T. KOKSAL D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (785) 827-4401

## Contact information

- **Practice address:** 950 ELMHURST BLVD, SALINA, KS 67401-7402
- **Practice address phone:** (785) 827-4401
- **Practice address fax:** (785) 827-1560
- **Mailing address:** 950 ELMHURST BLVD, SALINA, KS 67401-7402
- **Mailing address phone:** (785) 827-4401
- **Mailing address fax:** (785) 827-1560

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 10/18/2023