EMPORIA SMILES DBA ELITE DENTAL (NPI# 1518299080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518299080 |
| Entity Type | Organization |
| Organization Name | EMPORIA SMILES DBA ELITE DENTAL |
| Practice Address |
1409 Stanton St Emporia KS 66801-6170 |
| Practice Telephone | 6203423600 |
| Practice Fax Number | 6203408087 |
| Mailing Telephone | 6203423600 |
| Mailing Fax Number | 6203408087 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | DR. CHRIS W POLK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6203423600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
KS60593 | KS | Dental Providers |
| Street Address |
1409 STANTON ST |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801-6170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780659243 | Ronald G. Protzman | Dentist | 1409 Stanton St, Emporia, KS 66801-6170 | 2006-02-20 |
| 1528150232 | Christopher R Owens | Chiropractor | 1409 Stanton St, Emporia, KS 66801 | 2006-09-29 |
| 1891887550 | Tamara Denise Thompson | Chiropractor | 1409 Stanton St, Emporia, KS 66801 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154807154 | Katelyn Lindberg | Dentist | 307 Dogwood Ln Ste D, Emporia, VA 23847-1239 | 2018-07-13 |
| 1598967903 | Thomas A Kriss Dds | Dentist | 1212 Chestnut St, Emporia, KS 66801-5622 | 2007-06-05 |
| 1740310143 | Harold J Neal, Jr. Dds, PC | Dentist | 508 Belfield Dr., Emporia, VA 23847 | 2007-03-06 |
| 1396898730 | Douglas William Harman | Dentist | 510 Belfield Dr, Emporia, VA 23847-1218 | 2007-01-19 |
| 1104933050 | Roger A Palmer | Dentist | 307 Dogwood Ln, Ste D, Emporia, VA 23847-1221 | 2006-08-24 |
| 1316988207 | Gary Lee Ace | Dentist | 1505 W 12th Ave, Emporia, KS 66801-2457 | 2006-06-09 |
| 1174589865 | Thomas A Kriss | Dentist | 1212 Chestnut, Emporia, KS 66801 | 2006-04-22 |
| 1033197223 | John C. Patton | Dentist | 1507 W 12th Ave, Emporia, KS 66801-2457 | 2006-01-06 |
| 1659359297 | Lynn A Cramer | Dentist | 420 W 15th Ave, Emporia, KS 66801-5367 | 2006-01-04 |
| 1316931009 | Marlin L Flanagin | Dentist | 1200 C of E Dr, Emporia, KS 66801-2578 | 2005-09-08 |
| Find all providers in EMPORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.