MEDICARE: LUZ DEL CARMEN ESTRADA

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	124Q00000X	Dental Hygienist	2737	KS

General Provider Information

NPI Number	:	1962745794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUZ DEL CARMEN ESTRADA

Provider Business Mailing Address
First Line	:	1803 TOMAHAWK RD
Second Line	:
City	:	DODGE CITY
State	:	KS
Zip	:	67801-3200
Country	:	US
Telephone Number	:	316-807-0554
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 N 14TH AVE STE 202
Second Line	:
City	:	DODGE CITY
State	:	KS
Zip	:	67801-2367
Country	:	US
Telephone Number	:	620-225-2650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	03/29/2013

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1679554133 — TIMOTHY G CORNITIUS MD
Practice Location Address:

2300 N 14TH AVE STE 104
DODGE CITY, KS
67801-2367

Practice Phone: 620-225-8865
Practice Fax: 620-225-8866

1093984197 — KAREN M. ACKERMAN, D.P.M., P.A.
Practice Location Address:

2300 N 14TH AVE STE 100A
DODGE CITY, KS
67801-2367

Practice Phone: 620-225-7829
Practice Fax: 620-225-4827

1356743835 — SHELLY R KEESLING PA-C
Practice Location Address:

2300 N 14TH AVE STE 104
DODGE CITY, KS
67801-2367

Practice Phone: 620-225-8865
Practice Fax: 620-225-8866

1417565136 — DR. SOPHIA MARIA ALONSO DOWLING DDS
Practice Location Address:

2300 N 14TH AVE STE 202
DODGE CITY, KS
67801-2367

Practice Phone: 660-225-2650
Practice Fax:

1194438713 — COMMONSPIRIT KANSAS, INC.
Practice Location Address:

2300 N 14TH AVE STE 104
DODGE CITY, KS
67801-2367

Practice Phone: 620-371-7010
Practice Fax: 620-371-7011

Directions to “ LUZ DEL CARMEN ESTRADA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.