Countryside Dentistry is a Dental Clinic in Frontenac, Kansas. It is located at 1034 North Highway 69, Frontenac, KS and its contact number is 620-232-2273. The authorized person for Countryside Dentistry is Ms. Rexanna Jo Knapp
who is Office Manager of the clinic and their contact number is 620-232-2273. The primary license number for Countryside Dentistry is 60140 (Dentist) in Kansas. Countryside Dentistry Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Countryside Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Countryside Dentistry
Specialization:
Dentistry
Clinic Address:
1034 North Highway 69, Frontenac, Kansas, 66763
Phone:
620-232-2273
Fax:
620-232-9308
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Rexanna Jo Knapp
Position:
Office Manager
Contact Number:
620-232-2273
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Countryside Dentistry clinic are as mentioned below.
NPI Number:
1457411928
NPI Enumeration Date:
12 Dec, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Countryside Dentistry are as mentioned below.
Specialization
License Number
State
Status
Dentist
60140
Kansas
Primary
Dentist
60336
Kansas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
30137
Other
Kansas
Delta
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Countryside Dentistry Po Box 973, Frontenac, Kansas
Zip:
66763
Phone Number:
620-232-2273
Fax Number:
620-232-9308
Patients can reach Countryside Dentistry at 1034 North Highway 69, Frontenac, Kansas or can call to book an appointment on 620-232-2273. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.