Halstead Dental Clinic- Greensburg

Organization Active NPI Dentist · Greensburg, KS

NPI 1780935619 · NPPES record last updated Mar 30, 2015

Key facts

NPI
1780935619
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
5857 (KS)
Legal business name
HALSTEAD DENTAL CLINIC- GREENSBURG
Practice address
721 W Kansas Ave
Greensburg, KS 67054-1633
Phone
(316) 835-2070
Fax
(316) 835-2008
NPI assigned
Oct 2, 2012
Organization subpart
Yes
Parent organization (as reported)
DR. ROBERT L. SWEET D.D.S.

Authorized official

Name
Dr. Robert L Sweet, D.D.S.
Title
Owner
Phone
(316) 835-2070

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Halstead Dental Clinic PA (2 organizations share this tax ID)
Part of
Halstead Dental Clinic PA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 5857 KS Yes

Addresses

Primary practice location

721 W Kansas Ave
Greensburg, KS 67054-1633

Mailing address

212 Main St
Halstead, KS 67056-1913
Phone (316) 835-2070

Other providers in Greensburg, KS

All providers in Greensburg, KS · Dentist in Kansas

Sources for this page

Verify at the official NPI Registry.