Organization
S KIRK VINCENT D.D.S., L.C.
Active
Organization
S KIRK VINCENT D.D.S., L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VINCENT (OFFICE MANAGER)
(785) 841-2902
Entity
Organization
Contact information
Practice address
4811 BOB BILLINGS PARKWAY, SUITE A, LAWRENCE, KS 66049
(785) 841-2902
(785) 841-5312
Mailing address
4811 BOB BILLINGS PARKWAY, SUITE A, LAWRENCE, KS 66049
(785) 841-2902
(785) 841-5312
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6362
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420714
PTAN
—
Enumeration date
10/31/2007
Last updated
11/30/2009
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