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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PERIODONTIST PA

Active Organization

PERIODONTIST PA is a Periodontology organization located in OVERLAND PARK, Kansas. NPI 1104948959 is currently active in the NPPES registry. Verify at CMS.

Periodontology · OVERLAND PARK, KS

Registration Details

NPI Number
1104948959
Provider Type
Organization
NPI Issued
Apr 4, 2007 (19.387437534314 yrs)
Last Updated
Aug 22, 2020
License
5544 (KS)

Practice Information

Address
10870 BENSON ST
BLDG. 21 SUITE 2100
OVERLAND PARK, KS, 662101502
Browse KS providers · Browse ZIP 66210
Phone
9134516158
Fax
9134519463
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Organizations in OVERLAND PARK, KS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.