Overland Park Dentistry, Pa | |
4400 S Limit Ave Suite C Sedalia MO 65301-1179 | |
(660) 826-0448 | |
Not Available |
Full Name | Overland Park Dentistry, Pa |
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Speciality | Dentist - General Practice |
Location | 4400 S Limit Ave, Sedalia, Missouri |
Authorized Official Name and Position | Charles Kimes (OWNER) |
Authorized Official Contact | 6608260448 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Overland Park Dentistry, Pa 4400 S Limit Ave Suite C Sedalia MO 65301-1179 Ph: (660) 826-0448 | Overland Park Dentistry, Pa 4400 S Limit Ave Suite C Sedalia MO 65301-1179 Ph: (660) 826-0448 |
NPI Number | 1518491398 |
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Provider Enumeration Date | 04/18/2017 |
Last Update Date | 04/18/2017 |
Identifier | Type | State | Issuer |
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1518491398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 6058 (Kansas) | Primary |
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