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

PERIODONTAL SPECIALIST PA

Active Organization

PERIODONTAL SPECIALIST PA is a Periodontology organization located in LEAWOOD, Kansas. NPI 1497770200 is currently active in the NPPES registry. Verify at CMS.

Periodontology · LEAWOOD, KS

Registration Details

NPI Number
1497770200
Provider Type
Organization
NPI Issued
Jul 13, 2006 (20.126828670656 yrs)
Last Updated
Jul 17, 2008

Practice Information

Address
11401 NALL AVENUE
LEAWOOD, KS, 662111674
Browse KS providers · Browse ZIP 66211
Phone
9136634867
Primary Specialty
Periodontology
1223P0300X
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.