Organization
TONGANOXIE FAMILY DENTISTRY
Active
Parent organization
TONGANOXIE FAMILY DENTISTRY
Other names
McLouth Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TONGANOXIE FAMILY DENTISTRY
Authorized official
DAVID H JAEGER DDS (OWNER)
(816) 813-7917
Entity
Organization
Contact information
Practice address
609 EAST LAKE STREET, MCLOUTH, KS 66054
(913) 796-6113
(913) 796-6098
Mailing address
PO BOX 343, TONGANOXIE, KS 66086
(913) 417-7333
(913) 417-7335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60803
KS
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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