Organization · Type 2 NPI
Periodontist PA
Periodontics · Overland Park, KS
NPI number
1104948959
Active
Practice location
10870 Benson St, Bldg. 21 Suite 2100
Overland Park, KS 66210-1502
Fax (913) 451-9463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 5544 (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.
2 other providers at this address
Other periodontics providers in Overland Park
About NPI 1104948959
Periodontist PA's National Provider Identifier is 1104948959, issued on Apr 4, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Overland Park, KS. The record was last updated on Aug 22, 2020.