Immediadent Of Indiana, P.C. in Overland Park - Dentist
Immediadent Of Indiana, P.C. - NPI 1154508331
Immediadent Of Indiana, P.C. is a Dentist in Overland Park, Kansas. Immediadent Of Indiana, P.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Immediadent Of Indiana, P.C. is 1154508331. The last update date is 2017-04-28.
Immediadent Of Indiana, P.C.'s current location address is Po Box 11568, Overland Park, Kansas. You can contact this provider via phone number 9134281686 and fax number 8665910604. The mailing address for Immediadent Of Indiana, P.C. is Po Box 11568, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Immediadent Of Indiana, P.C. |
|---|---|
| Address | Po Box 11568, Overland Park, Kansas |
| Phone Number | 9134281686 |
| Fax Number | 8665910604 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER OF |
|---|---|
| Authorized Official Name | Long L Monica |
| Telephone Number | 9134281686 |
NPI Number Detail
| NPI Number | 1154508331 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2017-04-28 |
Provider Mailing Address Detail
| Address | Po Box 11568 |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662074268 |
| Phone Number | 9134281686 |
| Fax Number | 8665910604 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12010746A |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200377170I | IN | -- |
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What is the Immediadent Of Indiana, P.C.'s 1154508331?
The Immediadent Of Indiana, P.C.'s NPI (National Provider Identifier) Number is 1154508331. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Immediadent Of Indiana, P.C.?
The Immediadent Of Indiana, P.C. is physically situated at Po Box 11568, in the city of Overland Park, state of KS, with the postal code 662074268.
What is the Immediadent Of Indiana, P.C.'s specialty and taxonomy code?
The Immediadent Of Indiana, P.C.'s specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154508331 to Immediadent Of Indiana, P.C.?
The Immediadent Of Indiana, P.C. received its 1154508331 assignment from the Centers for Medicare & Medicaid Services on 2008-01-30.
When was the Immediadent Of Indiana, P.C.'s information last updated?
The Immediadent Of Indiana, P.C.'s information was last updated on 2017-04-28.
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