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Free State Dental — NPI 1912778804, De Soto, KS | NPI Central

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NPI 1912778804

OrganizationActive

Free State Dental

NPI 1912778804 · Dental Clinic/Center · De Soto, KS

Provider details

NPI number: 1912778804
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Bradley Adams, Partner(785) 843-2636

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

33391 Lexington Avenue

Suite C

De Soto, KS 66018

Phone: (785) 843-2636

Approximate (ZIP-level) locationGet directions

More KS providers

Mailing address

4111 W 6th St

Lawrence, KS 66049-4609

Other names (DBA / former)

Doing business as: Free State Dental of De Soto

Registry dates

Enumerated: 2024-01-10
Last updated: 2024-01-10
Certified: 2024-01-08

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