Custom Dental of Ottawa, PA
Custom Dental of Ottawa, PA is a Dental Clinic/Center in Ottawa, Kansas. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2030 S Princeton StOttawa, KS 66067
Phone: (785) 521-3737
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1508419938 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rene Rodgers — Coo · (405) 227-6100 |
| NPI enumerated | July 24, 2019 |
| Last updated in NPPES | September 8, 2021 |
| Certification date | September 8, 2021 |
| Mailing address | 2030 S Princeton St, Ottawa, KS 66067 |