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NPI Code Detail

MEDICARE: DR. JOHN DONALD ALDERMAN DDS

MEDICARE:  DR. JOHN DONALD ALDERMAN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist6319KS

General Provider Information

NPI Number : 1477555803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DONALD ALDERMAN DDS
Provider Business Mailing Address
First Line : 605 WESTVIEW CT
Second Line :
City : COUNCIL GROVE
State : KS
Zip : 66846-8798
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 W MAIN ST
Second Line :
City : COUNCIL GROVE
State : KS
Zip : 66846-1702
Country : US
Telephone Number : 620-767-6744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN DONALD ALDERMAN DDS” Practice Location

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