# WERTH FAMILY DENTAL PA

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

## Provider details

- **NPI number:** 1891331666
- **Authorized official:** DR. JODIE R WERTH DDS (MANAGER)
- **Authorized official phone:** (620) 290-2257

## Contact information

- **Practice address:** 2703 HALL ST STE A1, HAYS, KS 67601-1899
- **Practice address phone:** (785) 628-2424
- **Mailing address:** 2703 HALL ST STE A1, HAYS, KS 67601-1899
- **Mailing address phone:** (785) 628-2424

## Taxonomy

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

## Other

- **Enumeration date:** 11/26/2019
- **Last updated:** 11/26/2019
