| Capstone Dentistry, Llc | |
|
17212 Midland Dr Shawnee KS 66217 | |
| (913) 396-4800 | |
| Not Available |
| Full Name | Capstone Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17212 Midland Dr, Shawnee, Kansas |
| Authorized Official Name and Position | Michael Kemmling (PRESIDENT) |
| Authorized Official Contact | 9133964800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capstone Dentistry, Llc 17212 Midland Dr Shawnee KS 66217 Ph: (913) 396-4800 | Capstone Dentistry, Llc 17212 Midland Dr Shawnee KS 66217 Ph: (913) 396-4800 |
| NPI Number | 1508179193 |
|---|---|
| Provider Enumeration Date | 07/23/2010 |
| Last Update Date | 07/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508179193 | NPI | - | NPPES |
| 1306007844 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60562 (Kansas) | Primary |
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