| Ward Periodontics, Llc | |
|
12701 Metcalf Ave Suite 200 Overland Park KS 66213-2617 | |
| (913) 563-7400 | |
| (913) 563-7402 |
| Full Name | Ward Periodontics, Llc |
|---|---|
| Speciality | Dentist |
| Location | 12701 Metcalf Ave, Overland Park, Kansas |
| Authorized Official Name and Position | Audra Sue Ward (OWNER) |
| Authorized Official Contact | 9135637400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ward Periodontics, Llc 12701 Metcalf Ave Suite 200 Overland Park KS 66213-2617 Ph: (913) 563-7400 | Ward Periodontics, Llc 12701 Metcalf Ave Suite 200 Overland Park KS 66213-2617 Ph: (913) 563-7400 |
| NPI Number | 1629219878 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 03/18/2009 |
| Medicare PECOS PAC ID | 3375991375 |
|---|---|
| Medicare Enrollment ID | O20231201001389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629219878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 60605 (Kansas) | Primary |
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