Organization
ERICKSON & GILL, P.A.
Active
Other names
Anthony Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARISSA M GILL DDS (PARTNER)
(620) 842-3844
Entity
Organization
Contact information
Practice address
113 N ANTHONY AVE, ANTHONY, KS 67003-2007
(620) 842-3844
(620) 842-4139
Mailing address
113 N ANTHONY AVE, ANTHONY, KS 67003-2007
(620) 842-3844
(620) 842-4139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103017
—
KS
01
—
1301234
UNITED CONCORDIA
KS
01
—
420738
BLUE CROSS BLUE SHIELD
KS
Enumeration date
03/29/2006
Last updated
08/22/2020
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