Blue Valley Pediatric Dentistry Llc | |
7560 W 160th St Overland Park KS 66085 | |
(913) 232-2708 | |
(913) 232-2718 |
Full Name | Blue Valley Pediatric Dentistry Llc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 7560 W 160th St, Overland Park, Kansas |
Authorized Official Name and Position | Vanessa Renee Axelsen (OWNER) |
Authorized Official Contact | 9132322708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Valley Pediatric Dentistry Llc 7560 W 160th Street Overland Park KS 66085 Ph: (913) 232-2708 | Blue Valley Pediatric Dentistry Llc 7560 W 160th St Overland Park KS 66085 Ph: (913) 232-2708 |
NPI Number | 1942795976 |
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Provider Enumeration Date | 06/22/2018 |
Last Update Date | 10/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942795976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 719 (Kansas) | Primary |
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