Individual
THOMAS A KRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1212 CHESTNUT, EMPORIA, KS 66801
(620) 342-8256
(620) 412-4316
Mailing address
1212 CHESTNUT, EMPORIA, KS 66801
(620) 342-8256
(620) 412-4316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS7081
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289310B
—
KS
01
—
1005132
DORAL PROVIDER ID
—
01
—
116835
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/22/2006
Last updated
03/05/2013
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