Provider Demographics
NPI:1124138656
Name:HUNGERFORD WITCHER WALKER AND SNOWDEN DENTISTRY PARTNERSHIP
Entity type:Organization
Organization Name:HUNGERFORD WITCHER WALKER AND SNOWDEN DENTISTRY PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUNGERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:785-539-5949
Mailing Address - Street 1:1305 WESTLOOP PL
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2841
Mailing Address - Country:US
Mailing Address - Phone:785-539-5949
Mailing Address - Fax:785-539-2717
Practice Address - Street 1:1305 WESTLOOP PL
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2841
Practice Address - Country:US
Practice Address - Phone:785-539-5949
Practice Address - Fax:785-539-2717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS62931223G0001X
KS601321223G0001X
KS602621223G0001X
KS54551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty