Organization
ATCHISON DENTAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN BLEY REAVIS DDS (PRESIDENT)
(913) 367-0212
Entity
Organization
Contact information
Practice address
111 N 5TH ST, ATCHISON, KS 66002-0399
(913) 367-0212
(913) 367-6214
Mailing address
PO BOX 399, ATCHISON, KS 66002-0399
(913) 367-0212
(913) 367-6214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6084
KS
Other
Enumeration date
01/24/2006
Last updated
08/22/2020
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