Organization · Type 2 NPI
Lara L Tull Ryan DDS MS PA
Periodontics · Overland Park, KS
NPI number
1013904564
Active
Practice location
4601 W. 109th St., Suite 212
Overland Park, KS 66211
Fax (913) 491-0793
Mailing address
4601 W 109th St, Suite 212
Overland Park, KS 66211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 60284 (KS) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Overland Park
About NPI 1013904564
Lara L Tull Ryan DDS MS PA's National Provider Identifier is 1013904564, issued on Sep 30, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Overland Park, KS. The record was last updated on Apr 27, 2016.