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Independence Dental, LLC — NPI 1104598721, Independence, KS | NPI Central

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OrganizationActive

Independence Dental, LLC

NPI 1104598721 · Dental Clinic/Center · Independence, KS

Provider details

NPI number: 1104598721
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Juan Reynolds, Owner/Dentist(918) 907-1335

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

308 N 6th St

Independence, KS 67301-3129

Phone: (620) 331-4499

Approximate (ZIP-level) locationGet directions

More KS providers

Mailing address

308 N 6th St

Independence, KS 67301-3129

Registry dates

Enumerated: 2021-10-01
Last updated: 2021-10-01
Certified: 2021-10-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.