Organization
JOHN D. ALDERMAN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DONALD ALDERMAN DDS (PRESIDENT)
(620) 767-6744
Entity
Organization
Contact information
Practice address
111 W MAIN ST, COUNCIL GROVE, KS 66846-1702
(620) 767-6744
(620) 767-6744
Mailing address
111 W MAIN ST, COUNCIL GROVE, KS 66846-1702
(620) 767-6744
(620) 767-6744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6319
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223330A
—
KS
Enumeration date
12/20/2012
Last updated
12/20/2012
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