Organization
NEW IMAGE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PIERCE (DENTIST)
(620) 582-2423
Entity
Organization
Contact information
Practice address
207 S. WASHINGTON, COLDWATER, KS 67029
(620) 582-2423
Mailing address
PO BOX 65, COLDWATER, KS 67029-0065
(320) 582-2423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6988
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17474
BLUE CROSS BLUE SHIELD OF
KS
Enumeration date
09/20/2006
Last updated
08/22/2020
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