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NPI Code Detail

MEDICARE: JANET S APT RDH

MEDICARE: JANET S APT RDH
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
1124Q00000XDental Hygienist1052KS

General Provider Information

NPI Number : 1134553498
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET S APT RDH
Provider Business Mailing Address
First Line : PO BOX 1832
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-1832
Country : US
Telephone Number : 888-777-9170
Fax Number :
Provider Business Practice Location Address
First Line : 2051 N STATE ST
Second Line :
City : IOLA
State : KS
Zip : 66749-1677
Country : US
Telephone Number : 620-380-6600
Fax Number : 620-380-6215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2013
Last Update Date : 12/28/2022

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Directions to “ JANET S APT RDH” Practice Location

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