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St3 Dental Services Llc

St3 Dental Services Llc is a health care provider in Sedan, KS. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 120 W Osage St, Sedan, KS 67361-1518, US
Practice Location Phone620-725-3122
Practice Location Fax620-725-5395
Legal Business NameST3 DENTAL SERVICES LLC
Other Organization NameCHAUTAUQUA HILLS DENTAL CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1871948497
Entity TypeOrganization
Enumeration Date ? May 2, 2016
Last Update Date ? May 2, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of St3 Dental Services Llc

SpecialtySpecializationLicenseLicense State
Point of Service 61288Kansas

legacy-id-icon Legacy Provider IDs of St3 Dental Services Llc

Provider IdIssuer StateIssuer TypeIssuer
201126710AKansasMedicaid

official-icon Authorized Official of St3 Dental Services Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the St3 Dental Services Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Colin Michael Shawhan (DDS)
Authorized Official Title/PositionDENTIST
Authorized Official Phone Number620-725-3122