Organization
T.A. RAINBOLT, DDS, P.A.
Active
Other names
Ottawa Kansas Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A. RAINBOLT DDS (PRESIDENT)
(785) 841-3311
Entity
Organization
Contact information
Practice address
1334 S. MAIN STREET, OTTAWA, KS 66067
(785) 242-5753
(785) 242-8359
Mailing address
1425 WAKARUSA DRIVE, SUITE A, LAWRENCE, KS 66049
(785) 841-3311
(785) 843-0421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/28/2006
Last updated
12/10/2014
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