Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEDIATRIC SPECIALIST PA
Active OrganizationPEDIATRIC SPECIALIST PA is a Pediatric Dentistry organization located in LEAWOOD, Kansas. NPI 1619992419 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LEAWOOD, KS
Registration Details
- NPI Number
- 1619992419
- Provider Type
- Organization
- NPI Issued
- Jul 13, 2006 (20.118307083438 yrs)
- Last Updated
- Jul 17, 2008
Practice Information
- Address
-
11401 NALL AVENUELEAWOOD, KS, 662111674Browse KS providers · Browse ZIP 66211
- Phone
- 9136495437
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.