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NPI 1598967903

NPI 1598967903 : THOMAS A KRISS DDS : EMPORIA, KS

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General NPI Number Information
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    NPI Number           |    1598967903
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    Entity Type          |    Organization 
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    Legal Business Name  |    THOMAS A KRISS DDS 
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Dates
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    Enumeration Date     |    06/05/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1212 CHESTNUT ST 
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    City                 |    EMPORIA
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    State                |    KS
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    Zip                  |    66801-5622
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    Country              |    US
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    Telephone            |    620-342-8256
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    Fax                  |    620-342-0356
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Provider Business Mailing Address
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    Address Line         |    1212 CHESTNUT ST 
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    City                 |    EMPORIA
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    State                |    KS
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    Zip                  |    66801-5622
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    Country              |    US
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    Telephone            |    620-342-8256
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    Fax                  |    620-342-0356
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     THOMAS A KRISS 
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    Credential           |    DDS
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    Telephone            |    620-342-8256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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