Carol M. Ysidro, D.D.S.,P.a.
Organization Active NPI Public Health Dentistry · Derby, KS
NPI 1992865612 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992865612
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- 60024 (KS)
- Legal business name
- CAROL M. YSIDRO, D.D.S.,P.A.
- Practice address
- 900 E. Meadowlark
Derby, KS 67037-5258 - Phone
- (316) 788-2118
- Fax
- (316) 789-9098
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Monte Ysidro
- Title
- Business Manager
- Phone
- (316) 788-2118
Practitioners 1
-
Zane Ali Issa, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry |
1223D0001X | 60024 | KS | Yes |
Addresses
Primary practice location
900 E. Meadowlark
Derby, KS 67037-5258
Mailing address
PO Box 1258
900 E. Meadowlark
Derby, KS 67037-5258
Phone (316) 788-2118
Other providers in Derby, KS
- Shelly Denise Callahan
- Camillus Wellness LLC
- Shelby Leann Campbell
- Carepoint Emergency Medicine Kansas LLC
- Katie Layne Carmer
- Jennifer Lynn Carr
- Noah Carroll
- Katherine Jean Cates Panakos
- Cep America - Kansas LLC
- Lydia Chavez-Carrillo
All providers in Derby, KS · Public Health 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.