Erickson & Gill, P.a.
Organization Active NPI General Practice Dentistry · Anthony, KS
NPI 1902867047 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1902867047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ERICKSON & GILL, P.A.
- Practice address
- 113 N Anthony Ave
Anthony, KS 67003-2007 - Phone
- (620) 842-3844
- Fax
- (620) 842-4139
- NPI assigned
- Mar 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Carissa M Gill, DDS
- Title
- Partner
- Phone
- (620) 842-3844
Corporate family (same tax ID) 2
Practitioners 2
-
Mark Lee Erickson, DDS
-
Carissa Marie Gill, DDS
National Provider Directory
- Tax ID family
- Erickson Gill PA
Locations
113 N Anthony Ave
Anthony, KS 67003
Phone (620) 842-3844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
113 N Anthony Ave
Anthony, KS 67003-2007
Mailing address
113 N Anthony Ave
Anthony, KS 67003-2007
Phone (620) 842-3844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301234 | Other | KS | UNITED CONCORDIA |
| 420738 | Other | KS | BLUE CROSS BLUE SHIELD |
| 103017 | Medicaid | KS |
Other names
- Anthony Dental
Other providers in Anthony, KS
- County of Harper
- County of Harper
- County of Harper
- County of Harper
- Jacob Lance Cox
- Mark Lee Erickson
- Lance Michael Freeman
- Sloane Freeman
- Leah R Gerdes
- Carissa Marie Gill
All providers in Anthony, KS · General Practice Dentistry 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 22, 2020. 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.