STTT DENTAL SERVICES LLC CORP (NPI# 1871948497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871948497 |
| Entity Type | Organization |
| Organization Name | STTT DENTAL SERVICES LLC CORP |
| Other Organization Name | CHAUTAUQUA HILLS DENTAL CENTER |
| Practice Address |
120 W Osage St Sedan KS 67361-1518 |
| Practice Telephone | 6207253122 |
| Practice Fax Number | 6207255395 |
| Mailing Telephone | 6207253122 |
| Mailing Fax Number | 6207255395 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MR. COLIN MICHAEL SHAWHAN (DENTIST) |
| Authorized Official Telephone | 6207253122 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305S00000X | Point of Service | 61288 | KS | Managed Care Organizations |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201126710A | 05 |
| Other Name | Type Code |
|---|---|
| Chautauqua Hills Dental Center | Doing Business As Name - Organization |
| Street Address |
120 W OSAGE ST |
| City | SEDAN |
| State | KS |
| Zip Code | 67361-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730102716 | Gabriel W Wurdeman | Dentist | 120 W Osage St, Sedan, KS 67361-1518 | 2006-07-25 |
| 1750787024 | Colin Michael Shawhan | Dentist | 120 W Osage St, Sedan, KS 67361-1518 | 2014-11-13 |
| 1538499926 | Chautauqua Hills Dental Group | Dentist | 120 W Osage St, Sedan, KS 67361-1518 | 2010-01-06 |
| 1487869046 | Gabriel Wurdeman | Dentist | 120 W Osage St, Sedan, KS 67361-1518 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740351493 | Sedan City Hospital | General Acute Care Hospital | 300 North Street, Sedan, KS 67361-1051 | 2006-11-13 |
| 1033114277 | Sedan City Hospital | General Acute Care Hospital | 300 W North St, Sedan, KS 67361-1051 | 2005-06-15 |
| 1215575956 | Mia Danielle Stroble | Nurse Practitioner | 300 W North St, Sedan, KS 67361-1051 | 2019-12-12 |
| 1194388843 | Katelyn Osborn | Speech-Language Pathologist | 300 W North St, Sedan, KS 67361-1051 | 2019-04-18 |
| 1730580887 | Bethany Anne Lear | Dietitian, Registered | 300 W North St, Sedan, KS 67361-1051 | 2014-09-09 |
| 1043629413 | Wade Matherly | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2014-08-10 |
| 1376951863 | Levi Lear | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2014-07-28 |
| 1750725065 | Marie J Strickler | Physical Therapy Assistant | 300 W North St, Sedan, KS 67361-1051 | 2013-04-18 |
| 1598904633 | Lori Ann Ridder | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2009-02-12 |
| 1831231315 | Shirley Hanley Black | Nurse Practitioner | 300 W North St, Sedan, KS 67361-1051 | 2007-02-13 |
| Find all providers in zip 67361 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071783 | David L. Foley D.d.s. Inc | Clinic/Center | 940 N Andover Rd, Andover, KS 67002-9787 | 2020-10-20 |
| 1629680368 | Alexander J. Clark Dds, LLC | Clinic/Center | 8340 Mission Rd Ste 118, Prairie Village, KS 66206-1362 | 2020-08-22 |
| 1225653959 | Moxley Family Dental, LLC | Clinic/Center | 15455 E 13th St N, Wichita, KS 67230-7572 | 2020-06-09 |
| 1760018576 | Senior Dental Care of Ms, LLC | Clinic/Center | 8500 W 110th St Ste 450, Overland Park, KS 66210-4029 | 2020-03-13 |
| 1962037523 | Beverly Moon Dmd LLC | Clinic/Center | 4601 W 109th St Ste 240, Overland Park, KS 66211-1323 | 2020-03-04 |
| 1518504976 | M&m Family Dentistry LLC | Clinic/Center | 9319 E Harry St Ste 126, Wichita, KS 67207-5070 | 2019-12-04 |
| 1811542640 | Medical Heights Dental Center, Pa | Clinic/Center | 100 W Ross Blvd Ste 2c, Dodge City, KS 67801-7217 | 2019-08-08 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1114588639 | Evolve Family Dentistry, LLC | Clinic/Center | 1133 College Ave Ste A103, Manhattan, KS 66502-2795 | 2019-06-25 |
| 1477112563 | Wamego Dental Professionals LLC | Clinic/Center | 1519 W Us Highway 24, Wamego, KS 66547-1322 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
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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.