Dental Professionals of Kansas, PA

NPI #1194145961 in Olathe, Kansas

Provider Information

NPI Number: 1194145961
Entity Type: Organization
Organization Name: Dental Professionals of Kansas, PA
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF KANSAS, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 21, 2014
Last Updated: Apr 29, 2016

Practice Location

Address: 2001 E SANTA FE ST
City: Olathe
State: Kansas
ZIP Code: 66062-1608
Phone: (913) 815-3293

Authorized Official

Name: LORI EDMONDS
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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