MEDICARE: DR HARTMAN & ASSOCIATES DENTISTRY, P.A.

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
1	1223G0001X	General Practice Dentistry	6245	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750640017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR HARTMAN & ASSOCIATES DENTISTRY, P.A.

Provider Business Mailing Address
First Line	:	13031 KANSAS AVE
Second Line	:
City	:	BONNER SPRINGS
State	:	KS
Zip	:	66012-9206
Country	:	US
Telephone Number	:	913-441-1600
Fax Number	:	913-441-1628

Provider Business Practice Location Address
First Line	:	13031 KANSAS AVE
Second Line	:
City	:	BONNER SPRINGS
State	:	KS
Zip	:	66012-9206
Country	:	US
Telephone Number	:	913-441-1600
Fax Number	:	913-441-1628

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. WILLIAM E HARTMAN
Credential	:	DDS
Telephone Number	:	913-441-1600

Provider Enumeration Date	:	05/08/2012
Last Update Date	:	05/08/2012

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Directions to “DR HARTMAN & ASSOCIATES DENTISTRY, P.A. ” Practice Location

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