Organization
R. MICHAEL MCBRIDE, DDS, PA
Active
Other names
R. Mike McBride, DDS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL MCBIRDE D.D.S. (OWNER/DENTIST)
(785) 841-8210
Entity
Organization
Contact information
Practice address
647 COUNTRY CLUB TERRACE, LAWRENCE, KS 66049-2450
(785) 841-8210
(785) 841-4495
Mailing address
647 COUNTRY CLUB TERRACE, LAWRENCE, KS 66049-2450
(785) 841-8210
(785) 841-4495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5473
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7987
BCBS OF KANSAS
KS
Enumeration date
10/03/2006
Last updated
08/22/2020
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