| Love To Smile, Dds Pa | |
|
10925 Antioch Rd Ste 201 Overland Park KS 66210-2119 | |
| (913) 491-1200 | |
| (913) 491-1205 |
| Full Name | Love To Smile, Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 10925 Antioch Rd Ste 201, Overland Park, Kansas |
| Authorized Official Name and Position | Sunny Rajendra Patel (CO-OWNER) |
| Authorized Official Contact | 9134911200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Love To Smile, Dds Pa 10925 Antioch Rd Ste 201 Overland Park KS 66210-2119 Ph: (913) 491-1200 | Love To Smile, Dds Pa 10925 Antioch Rd Ste 201 Overland Park KS 66210-2119 Ph: (913) 491-1200 |
| NPI Number | 1356693063 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 03/14/2019 |
| Medicare PECOS PAC ID | 7416290762 |
|---|---|
| Medicare Enrollment ID | O20190530000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356693063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60806 (Kansas) | Primary |
| Provider Name | Sunny R Patel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578839759 PECOS PAC ID: 0446496327 Enrollment ID: I20190530000772 |
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