# J.WARREN HILDRETH, JR., DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Marys Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962782680
- **Authorized official:** DR. JAY WARREN HILDRETH JR. DDS (PRESIDENT)
- **Authorized official phone:** (785) 456-7083

## Contact information

- **Practice address:** 310 W BERTRAND AVE, SAINT MARYS, KS 66536-1615
- **Practice address phone:** (785) 437-2771
- **Practice address fax:** (785) 321-1773
- **Mailing address:** 310 W BERTRAND AVE, SAINT MARYS, KS 66536-1615
- **Mailing address phone:** (785) 456-7083
- **Mailing address fax:** (785) 456-6520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4680 | KS | Yes |

## Other

- **Enumeration date:** 08/25/2011
- **Last updated:** 08/25/2011