| Grace Dental, P.a. | |
|
12611 Antioch Rd Overland Park KS 66213 | |
| (913) 685-9111 | |
| (913) 685-8486 |
| Full Name | Grace Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12611 Antioch Rd, Overland Park, Kansas |
| Authorized Official Name and Position | Michael Danley (GENERAL MANAGER) |
| Authorized Official Contact | 9136859111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental, P.a. 12611 Antioch Rd Overland Park KS 66213 Ph: (913) 685-9111 | Grace Dental, P.a. 12611 Antioch Rd Overland Park KS 66213 Ph: (913) 685-9111 |
| NPI Number | 1275657496 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275657496 | NPI | - | NPPES |
| 13970060 | Other | KS | BCBS |
| 808110 | Other | KS | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6166 (Kansas) | Primary |
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