Augusta Family Denistry PA

Organization Active NPI General Practice Dentistry · Augusta, KS

NPI 1497970685 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1497970685
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
5412 (KS)
Legal business name
AUGUSTA FAMILY DENISTRY PA
Practice address
401 State St
Augusta, KS 67010-1135
Phone
(316) 775-2482
Fax
(316) 775-5068
NPI assigned
Apr 15, 2007
Organization subpart
No

Authorized official

Name
Dr. Paul Francis Mitsch, D.M.D. NPI 1386734473
Title
Dentist
Phone
(316) 775-2482

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 5412 KS Yes

Addresses

Primary practice location

401 State St
Augusta, KS 67010-1135

Mailing address

PO Box 567
401 State Street
Augusta, KS 67010-0567
Phone (316) 775-2482

Other providers in Augusta, KS

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

Sources for this page

Verify at the official NPI Registry.