Fort Scott Family Dental

LBN: Jenkins Family Dentistry
Fort Scott Family Dental is an health care organization with primary practice located at 1115 S Main St , Fort Scott KS 66701-2651. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Jenkins Family Dentistry can be contacted via phone (620) 223-4448, or through Jenkins, Brad via phone (620) 223-4448.

Contact Information

Primary practice address
1115 S Main St Fort Scott KS 66701-2651
Phone: (620) 223-4448
Fax: (620) 223-9957
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Brad Doctor of Dental Surgery (DDS)
Phone: (620) 223-4448

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 7195 Kansas

Profile Details

NPI number 1548682933
LBN Legal business name Jenkins Family Dentistry
DBA Doing business as Fort Scott Family Dental
Authorized official Jenkins, Brad Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2014
Last updated Jan 29th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548682933 NPPES
Kansas MEDICAID 100350890E

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