Antioch Dental Inc in Overland Park - Dentist
Antioch Dental Inc - NPI 1790940872
Antioch Dental Inc is a Dentist in Overland Park, Kansas. Antioch Dental Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Antioch Dental Inc is 1790940872. The last update date is 2013-06-13.
Antioch Dental Inc's current location address is 8650 W 95th St Ste 2, Overland Park, Kansas. You can contact this provider via phone number 9136420031 and fax number 9136422188. The mailing address for Antioch Dental Inc is 8650 W 95th St Ste 2, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antioch Dental Inc |
|---|---|
| Address | 8650 W 95th St Ste 2, Overland Park, Kansas |
| Phone Number | 9136420031 |
| Fax Number | 9136422188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Boe N. Irwin |
| Credentials | DDS |
| Telephone Number | 9136420031 |
NPI Number Detail
| NPI Number | 1790940872 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2013-06-13 |
Provider Mailing Address Detail
| Address | 8650 W 95th St Ste 2 |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662123246 |
| Phone Number | 9136420031 |
| Fax Number | 9136422188 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 60303 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Antioch Dental Inc by the Centers for Medicare & Medicaid Services?
The Antioch Dental Inc has been assigned the NPI (National Provider Identifier) 1790940872 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Antioch Dental Inc?
The Antioch Dental Inc is physically situated at 8650 W 95Th St Ste 2, in the city of Overland Park, state of KS, with the postal code 662123246.
What is Antioch Dental Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Antioch Dental Inc is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790940872 to Antioch Dental Inc?
The Centers for Medicare & Medicaid Services assigned the 1790940872 to Antioch Dental Inc on 2008-07-28.
When was the information regarding Antioch Dental Inc most recently updated?
The details pertaining to the Antioch Dental Inc, including its address, specialty, and other relevant information, were last refreshed on 2013-06-13.