| Periodontal Care, P.a. | |
|
5000 W 95th St Ste 270 Prairie Village KS 66207-3300 | |
| (913) 341-4141 | |
| (913) 341-4432 |
| Full Name | Periodontal Care, P.a. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5000 W 95th St Ste 270, Prairie Village, Kansas |
| Authorized Official Name and Position | Anne E Peterson (BUSINESS MANAGER) |
| Authorized Official Contact | 9136818100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Care, P.a. 5000 W 95th St Ste 270 Prairie Village KS 66207-3300 Ph: (913) 341-4141 | Periodontal Care, P.a. 5000 W 95th St Ste 270 Prairie Village KS 66207-3300 Ph: (913) 341-4141 |
| NPI Number | 1558883181 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558883181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2010016137 (Missouri) | Primary |
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