Individual
DR. STEPHEN E. DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1202 W 11TH ST, LARNED, KS 67550-1942
(620) 285-6909
(620) 285-6909
Mailing address
1202 W 11TH ST, LARNED, KS 67550-1942
(620) 285-6909
(620) 285-6909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03892
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23577
BLUE CROSS PROVIDER
KS
01
—
481155584
FEDERAL TAX I.D. NUMBER
KS
Enumeration date
09/26/2006
Last updated
07/08/2007
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