Organization
ACCENT DENTAL L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA I FERRIS (H.R.)
(620) 231-2871
Entity
Organization
Contact information
Practice address
204 STATE STREET, FORT SCOTT, KS 66701
(620) 223-0130
Mailing address
2002 S. ROUSE ST, PITTSBURG, KS 66762
(620) 231-2871
(620) 231-3550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6182
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264670D
—
KS
Enumeration date
01/25/2007
Last updated
10/13/2020
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