Provider Demographics
NPI:1427801836
Name:MCPHERSON DENTAL CARE
Entity type:Organization
Organization Name:MCPHERSON DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-585-6766
Mailing Address - Street 1:221 S ASH ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4803
Mailing Address - Country:US
Mailing Address - Phone:620-241-8303
Mailing Address - Fax:620-241-3455
Practice Address - Street 1:221 S ASH ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-4803
Practice Address - Country:US
Practice Address - Phone:620-241-8303
Practice Address - Fax:620-241-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental