El Dorado Family Dentistry P.a.
Organization Active NPI Dental Clinic/Center · El Dorado, KS
NPI 1285828608 · NPPES record last updated Aug 29, 2007
Key facts
- NPI
- 1285828608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 5311 (KS)
- Legal business name
- EL DORADO FAMILY DENTISTRY P.A.
- Practice address
- 202 N Main St
El Dorado, KS 67042-2018 - Phone
- (316) 321-0300
- Fax
- (316) 321-1010
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Louis Steve Latimer, DDS
- Title
- Owner
- Phone
- (316) 321-1010
Practitioners 2
-
Michael Austin Kemmling, D.D.S.
-
Donald Anthony Nichols, D.D.S.
National Provider Directory
Locations
202 N Main St
El Dorado, KS 67042
Phone (316) 321-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 5311 | KS | Yes |
Addresses
Primary practice location
202 N Main St
El Dorado, KS 67042-2018
Mailing address
202 N Main St
El Dorado, KS 67042-2018
Phone (316) 321-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17426 | Other | KS | BCBS |
| 17428 | Other | KS | BCBS |
Other providers in El Dorado, KS
- El Dorado Care and Rehabilitation Center, LLC
- El Dorado Chiropractic PA
- El Dorado Clinic, P.a.
- El Dorado Clinic, P.a.
- El Dorado Family Dentistry
- El Dorado Operator, LLC
- El Dorado Pharmacy Inc
- El Dorado Pharmacy Inc
- El Dorado Surgical Associates PA
- El Dorado Usd #490
All providers in El Dorado, KS · Dental Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2007. 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.