Organization
ERICKSON & GILL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXI HUTSLER (OFFICE MANAGER)
(620) 326-5751
Entity
Organization
Contact information
Practice address
122 E LINCOLN AVE, WELLINGTON, KS 67152-3045
(620) 326-5751
(620) 326-7915
Mailing address
122 E LINCOLN AVE, WELLINGTON, KS 67152-3045
(620) 326-5751
(620) 326-7915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110776
BC/BS OF KS
KS
05
—
4087559201
—
KS
Enumeration date
05/27/2006
Last updated
08/22/2020
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