# T.A. RAINBOLT, DDS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ottawa Kansas Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700847043
- **Authorized official:** THOMAS A. RAINBOLT DDS (PRESIDENT)
- **Authorized official phone:** (785) 841-3311

## Contact information

- **Practice address:** 1334 S. MAIN STREET, OTTAWA, KS 66067
- **Practice address phone:** (785) 242-5753
- **Practice address fax:** (785) 242-8359
- **Mailing address:** 1425 WAKARUSA DRIVE, SUITE A, LAWRENCE, KS 66049
- **Mailing address phone:** (785) 841-3311
- **Mailing address fax:** (785) 843-0421

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 12/10/2014