| Aria Dental Care, P.c. | |
|
8500 W 110th St Ste 450 Overland Park KS 66210-4029 | |
| (877) 674-1211 | |
| (888) 270-3811 |
| Full Name | Aria Dental Care, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 8500 W 110th St Ste 450, Overland Park, Kansas |
| Authorized Official Name and Position | John Rosenbaum (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9136477926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aria Dental Care, P.c. 8500 W 110th St Ste 450 Overland Park KS 66210-4029 Ph: (877) 674-1211 | Aria Dental Care, P.c. 8500 W 110th St Ste 450 Overland Park KS 66210-4029 Ph: (877) 674-1211 |
| NPI Number | 1942977632 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Medicare PECOS PAC ID | 6406211895 |
|---|---|
| Medicare Enrollment ID | O20230509001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942977632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Jennifer Michelle Black |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356638910 PECOS PAC ID: 5395130710 Enrollment ID: I20220322002833 |
| Provider Name | Emma F Villiard |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699295923 PECOS PAC ID: 5395100788 Enrollment ID: I20230509001213 |
| Provider Name | Stephanie Cooper |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467437319 PECOS PAC ID: 6709845746 Enrollment ID: I20230523001308 |
| Provider Name | Tyler Villiard |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275059883 PECOS PAC ID: 0345608436 Enrollment ID: I20230622000291 |
| Provider Name | Kelli Steinlage |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164977567 PECOS PAC ID: 5698134765 Enrollment ID: I20230707000894 |
| Provider Name | Maria Nosworthy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629197579 PECOS PAC ID: 0749640225 Enrollment ID: I20230714003568 |
| Provider Name | Eric J Spurgeon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962816587 PECOS PAC ID: 7214233824 Enrollment ID: I20231102001857 |
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