| Dental Innovations, Pa | |
|
11221 Shawnee Mission Pkwy Shawnee KS 66203-3333 | |
| (913) 236-8899 | |
| (913) 236-8717 |
| Full Name | Dental Innovations, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11221 Shawnee Mission Pkwy, Shawnee, Kansas |
| Authorized Official Name and Position | Mark W Manroe (OWNER) |
| Authorized Official Contact | 9132368899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Innovations, Pa 11221 Shawnee Mission Pkwy Shawnee KS 66203-3333 Ph: (913) 236-8899 | Dental Innovations, Pa 11221 Shawnee Mission Pkwy Shawnee KS 66203-3333 Ph: (913) 236-8899 |
| NPI Number | 1427111095 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427111095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6883 (Kansas) | Primary |
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