Wellsville Family Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WELLSVILLE FAMILY DENTAL, P.A.

Doing business as

Wellsville Family Dental

Practice address

501 Main St
Wellsville, KS 66092-8724

Phone

(785) 883-2222

NPI assigned

Sep 11, 2018

Last updated

Feb 1, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Guest

Title

Manager

Phone

(913) 645-0079

Specialties & licenses 1

Addresses

Other names 1

• Wellsville Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Robert Raccuglia, DDS

  • Dentist
  • Wellsville, KS
  • NPI 1083749527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1508349937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 S OHIO CT STE 259",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016602",
            "telephone_number": "785-404-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "WELLSVILLE",
            "state": "KS",
            "postal_code": "660928724",
            "telephone_number": "785-883-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSVILLE FAMILY DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "GUEST",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-645-0079"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellsville Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellsville Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J Runyon
• Carson Smith
• Kaylene Stanton, PHARM.D.
• Nicole L Vlcek, D.C.
• Wellsville Chiropractic LLC (Wellsville Chiropractic)
• Wellsville Retirement Community
• Wellsville Usd 289

• General Practice Dentistry in Wellsville, KS
• Providers in Wellsville, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.