Organization
FLINT HILLS DENTAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D BARDEN DDS (PRESIDENT)
(620) 343-8000
Entity
Organization
Contact information
Practice address
2518 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 343-8000
(620) 343-9511
Mailing address
2518 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 343-8000
(620) 343-9511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4991
KS
1223G0001X
General Practice Dentistry
60357
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421764
BLUE CROSS BLUE SHIELD
KS
Enumeration date
05/11/2007
Last updated
08/22/2020
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