# MAX H PATTERSON DDS CHARTERED

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

## Provider details

- **NPI number:** 1770797516
- **Authorized official:** MAX H PATTERSON DDS (PRESIDENT)
- **Authorized official phone:** (620) 223-5210

## Contact information

- **Practice address:** 103 SCOTT AVE, FORT SCOTT, KS 66701-1420
- **Practice address phone:** (620) 223-5210
- **Practice address fax:** (620) 223-5213
- **Mailing address:** 103 SCOTT AVE, FORT SCOTT, KS 66701-1420
- **Mailing address phone:** (620) 223-5210
- **Mailing address fax:** (620) 223-5213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4551 | KS | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/22/2020
