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Organization

ADVANCED DENTAL ARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELLEN ODETTE REMSING DDS (OWNER)
(785) 537-4337
Entity
Organization

Contact information

Practice address
4201 ANDERSON AVE # A, MANHATTAN, KS 66503-7602
(785) 537-4337
(785) 539-4583
Mailing address
4201 ANDERSON AVE # A, MANHATTAN, KS 66503-7602
(785) 537-4337
(785) 539-4583

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60383
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116960
BLUE CROSS BLUE SHIELD
KS
01
1856156
UNITED CONCORDIA
KS
Enumeration date
08/31/2006
Last updated
08/22/2020
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