Organization
ALAN D. MARCOTTE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN DOUGLAS MARCOTTE DDS (OWNER)
(620) 221-7737
Entity
Organization
Contact information
Practice address
810 MAIN ST, WINFIELD, KS 67156-2835
(620) 221-7737
(620) 221-2351
Mailing address
810 MAIN ST, WINFIELD, KS 67156-2835
(620) 221-7737
(620) 221-2351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6511
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17259
BCBS GROUP ID
KS
01
—
19308
BCBS INDIVIDUAL ID
KS
01
—
3960
DELTA DENTAL ID
KS
Enumeration date
02/17/2006
Last updated
08/22/2020
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