Provider Demographics
NPI:1548646227
Name:KURT L GLENDENING DDSPA
Entity type:Organization
Organization Name:KURT L GLENDENING DDSPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:GLENDENING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:785-235-6219
Mailing Address - Street 1:1835 NW TOPEKA BLVD
Mailing Address - Street 2:SUITE#111
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66608-1888
Mailing Address - Country:US
Mailing Address - Phone:785-235-6219
Mailing Address - Fax:785-232-9410
Practice Address - Street 1:1835 NW TOPEKA BLVD
Practice Address - Street 2:SUITE#111
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66608-1888
Practice Address - Country:US
Practice Address - Phone:785-235-6219
Practice Address - Fax:785-232-9410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental