Emporia Oral Surgery Lc
Emporia Oral Surgery Lc is an Oral and Maxillofacial Surgery (Dentist) in Emporia, Kansas. Licensed in Kansas. Registered with an NPI since 2006.
- Licensed in
- KS
- In the registry since
- 2006
Practice location Address checks out
2510 W 15th AveEmporia, KS 66801-6102
Phone: (620) 342-5930
Fax: (620) 343-2972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 6706 (KS) |
|---|
Record details
| NPI number | 1912077116 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Philip Gaus — Partner · (620) 342-5930 |
| NPI enumerated | November 8, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2510 W 15th Ave, Emporia, KS 66801-6102 |