Chautauqua Hills Dental Center

LBN: Sttt Dental Services Llc Corp
Chautauqua Hills Dental Center is an health care organization with primary practice located at 120 W Osage St , Sedan KS 67361-1518. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Managed Care Organizations / Point of Service. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Sttt Dental Services Llc Corp can be contacted via phone (620) 725-3122, or through Shawhan, Colin Michael via phone (620) 725-3122.

Contact Information

Primary practice address
120 W Osage St Sedan KS 67361-1518
Phone: (620) 725-3122
Fax: (620) 725-5395
Website:
Map and Directions
Authorized official contact:
Name: Shawhan, Colin Michael Doctor of Dental Surgery (DDS)
Phone: (620) 725-3122

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Managed Care Organizations / Point of Service 305S00000X 61288 Kansas

Profile Details

NPI number 1871948497
LBN Legal business name Sttt Dental Services Llc Corp
DBA Doing business as Chautauqua Hills Dental Center
Authorized official Shawhan, Colin Michael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2016
Last updated Nov 7th, 2019 - about 6 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 1871948497 NPPES
Kansas MEDICAID 201126710A

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