El Dorado Family Dentistry

Organization Active NPI General Practice Dentistry · El Dorado, KS

NPI 1609246404 · NPPES record last updated Oct 6, 2015

Key facts

NPI
1609246404
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
61136 (KS)
Legal business name
EL DORADO FAMILY DENTISTRY
Practice address
202 N Main St
El Dorado, KS 67042-2018
Phone
(316) 321-0300
NPI assigned
Oct 6, 2015
Organization subpart
No

Authorized official

Name
Dr. William S Rasband, DDS
Title
Dentist
Phone
(816) 651-7743

Practitioners 3

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: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 61136 KS Yes
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 60660 KS
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 5311 KS

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 providers in El Dorado, KS

All providers in El Dorado, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.