Organization
MINER FAMILY DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA KAY MINER D.D.S. (OWNER)
(785) 625-2200
Entity
Organization
Contact information
Practice address
1010 DOWNING AVE STE 10, HAYS, KS 67601-2461
(785) 625-2200
(785) 625-0079
Mailing address
1010 DOWNING AVE STE 10, HAYS, KS 67601-2461
(785) 625-2200
(785) 625-0079
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0920275
TRICARE TDP
KS
05
—
100452140-A
—
KS
01
—
420749
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/20/2006
Last updated
08/17/2011
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