Midwest Oral & Maxillofacial Surgery, P.a. | |
4860 College Blvd Suite 120 Overland Park KS 66211-1601 | |
(913) 491-4488 | |
(913) 491-5073 |
Full Name | Midwest Oral & Maxillofacial Surgery, P.a. |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4860 College Blvd, Overland Park, Kansas |
Authorized Official Name and Position | Steven D Green (PRESIDENT) |
Authorized Official Contact | 9133346000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midwest Oral & Maxillofacial Surgery, P.a. 8919 Parallel Pkwy Suite 480 Kansas City KS 66112-1636 Ph: (913) 334-6000 | Midwest Oral & Maxillofacial Surgery, P.a. 4860 College Blvd Suite 120 Overland Park KS 66211-1601 Ph: (913) 491-4488 |
NPI Number | 1518932300 |
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Provider Enumeration Date | 02/23/2006 |
Last Update Date | 04/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518932300 | NPI | - | NPPES |
100314930B | Medicaid | KS | |
100364740B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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