# ERICKSON & GILL, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anthony Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902867047
- **Authorized official:** DR. CARISSA M GILL DDS (PARTNER)
- **Authorized official phone:** (620) 842-3844

## Contact information

- **Practice address:** 113 N ANTHONY AVE, ANTHONY, KS 67003-2007
- **Practice address phone:** (620) 842-3844
- **Practice address fax:** (620) 842-4139
- **Mailing address:** 113 N ANTHONY AVE, ANTHONY, KS 67003-2007
- **Mailing address phone:** (620) 842-3844
- **Mailing address fax:** (620) 842-4139

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103017 | — | KS |
| 01 | — | 1301234 | UNITED CONCORDIA | KS |
| 01 | — | 420738 | BLUE CROSS BLUE SHIELD | KS |