DOUGLAS COUNTY DENTAL CLINIC, INC - NPI 1396734737

Q: What is Douglas County Dental Clinic, Inc's NPI number?

The NPI number for Douglas County Dental Clinic, Inc is 1396734737. It was assigned to this organization in the NPPES registry on October 18, 2005.

Q: What is Douglas County Dental Clinic, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

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About Douglas County Dental Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS COUNTY DENTAL CLINIC, INC (NPI 1396734737) is a healthcare organization registered as a dental public health in Lawrence, Kansas and active in the NPI registry since October 2005. The organization lists Julie Meredith Branstrom, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396734737

Entity TypeOrganization

Primary Taxonomy1223D0001X

Legal Business NameDOUGLAS COUNTY DENTAL CLINIC, INC

Location Address2210 YALE RDLawrence, KS 66049-2647

Mailing Address2210 Yale RdLawrence, KS 66049-2647 · (785) 312-7770 · Fax (785) 312-9447

Phone(785) 312-7770

Fax(785) 312-9447

Organization SubpartNo

Authorized OfficialJulie Meredith BranstromExecutive Director · (785) 312-7770

Enumeration DateOctober 18, 2005

Last NPPES UpdateNovember 5, 2014

✔ NPI 1396734737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers

Taxonomy Code1223D0001X

License✔ Licensed in KS · 60218

Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

2210 YALE RD, Lawrence, KS 66049

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Other Identifiers 2

Medicaid100414900AKS

Medicaid103395KS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH D VAN HORN DDS

Dentist (General Practice)