Smiles Denitstry, Llc | |
14700 Metcalf Ave Ste 110 Overland Park KS 66223-2204 | |
(913) 685-9990 | |
Not Available |
Full Name | Smiles Denitstry, Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 14700 Metcalf Ave Ste 110, Overland Park, Kansas |
Authorized Official Name and Position | Matthew W Hillman (MEMBER) |
Authorized Official Contact | 9136859990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smiles Denitstry, Llc 14700 Metcalf Ave Ste 110 Overland Park KS 66223-2204 Ph: (913) 685-9990 | Smiles Denitstry, Llc 14700 Metcalf Ave Ste 110 Overland Park KS 66223-2204 Ph: (913) 685-9990 |
NPI Number | 1609076694 |
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Provider Enumeration Date | 07/19/2007 |
Last Update Date | 07/19/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609076694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 60447 (Kansas) | Primary |
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