# PEABODY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1700126042
- **Authorized official:** DR. HESHUN CHEN DDS (DENTIST)
- **Authorized official phone:** (509) 460-1569

## Contact information

- **Practice address:** 504 N POPLAR ST, PEABODY, KS 66866-1233
- **Practice address phone:** (620) 983-2285
- **Practice address fax:** (620) 983-2287
- **Mailing address:** 324 E 2ND ST, MOUNDRIDGE, KS 67107-7164
- **Mailing address phone:** (509) 460-1569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60881 | KS | Yes |

## Other

- **Enumeration date:** 02/24/2013
- **Last updated:** 02/24/2013