# PERSONALIZED FAMILY DENTAL CARE, P.A.

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

## Provider details

- **NPI number:** 1962417766
- **Authorized official:** DR. JOHN HASKELL HAY D.D.S. (OWNER)
- **Authorized official phone:** (785) 749-2525

## Contact information

- **Practice address:** 10 E 9TH ST, SUITE C-D, LAWRENCE, KS 66044-2621
- **Practice address phone:** (785) 749-2525
- **Practice address fax:** (785) 749-9524
- **Mailing address:** 10 E 9TH ST, SUITE C-D, LAWRENCE, KS 66044-2621
- **Mailing address phone:** (785) 749-2525
- **Mailing address fax:** (785) 749-9524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6380 | KS | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1494001 | DELTA DENTAL | KS |