| Mcknight & Oliver Periodontics | |
|
2200 W 75th Street Prairie Village KS 66208 | |
| (913) 649-4978 | |
| (913) 649-0926 |
| Full Name | Mcknight & Oliver Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2200 W 75th Street, Prairie Village, Kansas |
| Authorized Official Name and Position | N Randolph Oliver (PERIODONTIST) |
| Authorized Official Contact | 9136494978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcknight & Oliver Periodontics 2200 W 75th Street Prairie Village KS 66208 Ph: (913) 649-4978 | Mcknight & Oliver Periodontics 2200 W 75th Street Prairie Village KS 66208 Ph: (913) 649-4978 |
| NPI Number | 1063573483 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063573483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 5907 (Kansas) | Primary |
| 1223P0300X | Dentist - Periodontics | 7083 (Kansas) | Secondary |
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