Individual
DR. STEPHANIE VANDYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
413 S 10TH ST, ATCHISON, KS 66002-2771
(913) 367-0203
(913) 367-5037
Mailing address
413 S 10TH ST, ATCHISON, KS 66002-2771
(913) 367-0203
(913) 367-5037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6383
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100225290A
DORAL DENTAL
KS
01
—
16747019
BC/BS OF KC
MO
01
—
19358
BC/BS
KS
05
—
4054875701
—
KS
Enumeration date
08/10/2005
Last updated
08/19/2015
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