Organization
MATTHEW R. HEALY D.D.S., P.A.
Active
Other names
Tiny Teeth Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW HEALY DDS (PRESIDENT)
(316) 202-0140
Entity
Organization
Contact information
Practice address
3933 N MAIZE RD, SUITE 200, MAIZE, KS 67101-9618
(316) 202-0140
(316) 202-0141
Mailing address
3933 N MAIZE RD, SUITE 200, MAIZE, KS 67101-9618
(316) 202-0140
(316) 202-0141
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60502
KS
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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