Donald D. Mardis, Dds, PA
NPI #1558781419 in Shawnee Mission, Kansas
Provider Information
- NPI Number
- 1558781419
- Entity Type
- Organization
- Organization Name
- Donald D. Mardis, Dds, PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DONALD D. MARDIS, DDS, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 18, 2014
- Last Updated
- Sep 2, 2016
Practice Location
- Address
- 7450 QUIVIRA RD
- City
- Shawnee Mission
- State
- Kansas
- ZIP Code
- 66216-3526
- Phone
- (913) 217-7536
Authorized Official
- Name
- LORI EDMONDS
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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