Tonganoxie Family Dentistry
Organization Active NPI General Practice Dentistry · McLouth, KS
NPI 1174035596 · NPPES record last updated Oct 25, 2017
Key facts
- NPI
- 1174035596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 60803 (KS)
- Legal business name
- TONGANOXIE FAMILY DENTISTRY
- Practice address
- 609 East Lake Street
McLouth, KS 66054 - Phone
- (913) 796-6113
- Fax
- (913) 796-6098
- NPI assigned
- Oct 25, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- TONGANOXIE FAMILY DENTISTRY
Authorized official
- Name
- David H Jaeger, DDS
- Title
- Owner
- Phone
- (816) 813-7917
Corporate family (same tax ID) 2
Practitioners 3
-
David H Jaeger, D.D.S.
-
Allison Weber, DDS
National Provider Directory
- Tax ID family
- Tonganoxie Family Dentistry
- Part of
- Tonganoxie Family Dentistry
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 60803 | KS | Yes |
Addresses
Primary practice location
609 East Lake Street
McLouth, KS 66054
Mailing address
PO Box 343
Tonganoxie, KS 66086
Phone (913) 417-7333
Other names
- McLouth Family Dental
Other providers in McLouth, KS
All providers in McLouth, 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 Oct 25, 2017. 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.