Maple Dental, LLC

Organization Active NPI General Practice Dentistry · Ulysses, KS

NPI 1275960932 · NPPES record last updated Sep 26, 2013

Key facts

NPI
1275960932
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
4614 (KS)
Legal business name
MAPLE DENTAL, LLC
Practice address
307 N Main St
Ulysses, KS 67880-2132
Phone
(620) 356-1221
Fax
(620) 356-5204
NPI assigned
Sep 26, 2013
Organization subpart
No

Authorized official

Name
Dr. Theodore J Maple, DDS
Title
Dentist
Phone
(620) 356-1221

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

307 N Main St
Ulysses, KS 67880
Phone (620) 356-1221

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 4614 KS Yes

Addresses

Primary practice location

307 N Main St
Ulysses, KS 67880-2132

Mailing address

307 N Main St
Ulysses, KS 67880-2132
Phone (620) 356-1221

Other providers in Ulysses, KS

All providers in Ulysses, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.