Periodontal Specialist Pa in Leawood - Periodontics
Periodontal Specialist Pa - NPI 1497770200
Periodontal Specialist Pa is a Periodontics in Leawood, Kansas. Periodontal Specialist Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontal Specialist Pa is 1497770200. The last update date is 2008-07-17.
Periodontal Specialist Pa's current location address is 11401 Nall Avenue, Leawood, Kansas. You can contact this provider via phone number 9136634867. The mailing address for Periodontal Specialist Pa is 11401 Nall Avenue, Leawood, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontal Specialist Pa |
|---|---|
| Address | 11401 Nall Avenue, Leawood, Kansas |
| Phone Number | 9136634867 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PERI |
|---|---|
| Authorized Official Name | Thomas Daniel |
| Credentials | DDS MS |
| Telephone Number | 9136634867 |
NPI Number Detail
| NPI Number | 1497770200 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 11401 Nall Avenue |
|---|---|
| City | Leawood |
| State | Kansas (KS) |
| Post Code | 662111674 |
| Phone Number | 9136634867 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
Definition: 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 structure |
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Post Comment/ Review Below
What is the Periodontal Specialist Pa's unique identification number?
The Periodontal Specialist Pa has been assigned the NPI (National Provider Identifier) Number 1497770200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Periodontal Specialist Pa is located?
The Periodontal Specialist Pa is situated at the following address: 11401 Nall Avenue, Leawood, KS, 662111674.
What is Periodontal Specialist Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Periodontal Specialist Pa is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Periodontal Specialist Pa receive the assignment of its 1497770200 from the Centers for Medicare & Medicaid Services?
The Periodontal Specialist Pa was issued its 1497770200 by the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the details pertaining to Periodontal Specialist Pa last refreshed?
The information related to the Periodontal Specialist Pa, including its address, specialty, and other relevant details, was last updated on 2008-07-17.