| |
7219 W 95th St Overland Park KS 66212-2246 | |
(866) 988-4504 | |
(866) 815-3719 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 7219 W 95th St, Overland Park, Kansas |
Authorized Official Name and Position | Amy Lynn Christy-duncan (DIRECTOR OF REVENUE) |
Authorized Official Contact | 7377872049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5555 N Lamar Blvd Ste H125 Austin TX 78751-1096 Ph: (512) 861-1337 | 7219 W 95th St Overland Park KS 66212-2246 Ph: (866) 988-4504 |
NPI Number | 1548707177 |
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Provider Enumeration Date | 01/20/2017 |
Last Update Date | 12/04/2023 |
Identifier | Type | State | Issuer |
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1548707177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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