Lyons Dental Care, LLC
Organization Active NPI General Practice Dentistry · Lyons, KS
NPI 1043315971 · NPPES record last updated May 9, 2018
Key facts
- NPI
- 1043315971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4387 (KS)
- Legal business name
- LYONS DENTAL CARE, LLC
- Practice address
- 220 W Commercial St
Lyons, KS 67554-2716 - Phone
- (620) 257-5193
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Matthew Aaron Perry, DMD
- Title
- Dr
- Phone
- (620) 257-5193
Practitioners 1
-
Stanley Leon Bettin, D.D.S.
National Provider Directory
Locations
220 W Commercial St
Lyons, KS 67554
Phone (620) 257-5193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 4387 | KS | Yes |
Addresses
Primary practice location
220 W Commercial St
Lyons, KS 67554-2716
Mailing address
PO Box 696
Lyons, KS 67554-0696
Phone (620) 257-5193
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8289 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100095610A | Medicaid | KS |
Other providers in Lyons, KS
- LJ Norman DC LLC
- Ludwig Family Chiropractic LLC
- Robert Brian Ludwig
- Lyon Pharmacy Inc
- Lyon Pharmacy Inc
- Lyons Usd 405
- Lee J Norman
- Carl M Patrnchak
- Naomi Aiko Patrnchak
- Karla D Peter
All providers in Lyons, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.