# WELLINGTON FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** reusser & reusser Premier Dental Design Team
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851485502
- **Authorized official:** DR. TY M REUSSER D.D.S. (PRESIDENT)
- **Authorized official phone:** (620) 326-7983

## Contact information

- **Practice address:** 119 EAST LINCOLN, WELLINGTON, KS 67152
- **Practice address phone:** (620) 326-7983
- **Practice address fax:** (620) 326-8094
- **Mailing address:** 119 EAST LINCOLN, WELLINGTON, KS 67152
- **Mailing address phone:** (620) 326-7983
- **Mailing address fax:** (620) 326-8094

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020