# FREE STATE DENTAL

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

## Provider details

- **NPI number:** 1992940332
- **Authorized official:** BRADLEY AARON ADAMS DDS (PARTNER)
- **Authorized official phone:** (785) 843-2636

## Contact information

- **Practice address:** 4111 W 6TH ST, LAWRENCE, KS 66049-4609
- **Practice address phone:** (785) 843-2636
- **Practice address fax:** (785) 838-9577
- **Mailing address:** 4111 W 6TH ST STE A, LAWRENCE, KS 66049-4609
- **Mailing address phone:** (785) 843-2636
- **Mailing address fax:** (785) 838-9577

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2008
- **Last updated:** 01/01/2024