Individual
DR. JOHN ANDREW BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 E MAIN ST, GARDNER, KS 66030-1312
(913) 856-4465
(913) 273-0159
Mailing address
206 E MAIN ST, GARDNER, KS 66030-1312
(913) 856-4465
(913) 273-0159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3225
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
129
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2012022482
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60869
KS
Other
Enumeration date
10/12/2006
Last updated
04/24/2013
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