| Parks Children's Dentistry | |
|
4601 W 109th St Suite 217 Overland Park KS 66211-1318 | |
| (402) 469-4386 | |
| Not Available |
| Full Name | Parks Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4601 W 109th St, Overland Park, Kansas |
| Authorized Official Name and Position | Conrad Parks (PRESIDENT) |
| Authorized Official Contact | 4024694386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parks Children's Dentistry 9068 E 23rd Ave Denver CO 80238-2772 Ph: (402) 469-4386 | Parks Children's Dentistry 4601 W 109th St Suite 217 Overland Park KS 66211-1318 Ph: (402) 469-4386 |
| NPI Number | 1689084311 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 05/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689084311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 61078 (Kansas) | Primary |
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