Jerry Roy Lundgrin, D.D.S.

General Practice Dentistry · Salina, KS

Individual Active NPI

NPI number 1174650923

Practice location

909 E Wayne Ave
Salina, KS 67401-2201
Phone
(785) 825-5473
Fax
(785) 825-8965

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NPI record

NPI
1174650923
Entity type
Individual (Type 1)
Enumeration date
February 28, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4696 KS

Mailing address

PO Box 1424
Salina, KS 67402-1424
Phone
(785) 825-5473
Fax
(785) 825-8965

About Dr. Lundgrin

Jerry Roy Lundgrin, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 909 E Wayne Ave, Salina, KS 67401-2201. The NPI number 1174650923 was assigned on February 28, 2007 and the record was last updated on July 8, 2007.

Dr. Lundgrin lists a license in the registry: #4696 (KS) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Roy Lundgrin, D.D.S.?

The NPI number is 1174650923.

What is the phone number of Dr. Lundgrin?

The phone number listed for the practice location is (785) 825-5473.

Where is Dr. Lundgrin located?

909 E Wayne Ave, Salina, KS 67401-2201.

What is the taxonomy code for Dr. Lundgrin?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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