Lara L Tull Ryan Dds Ms Pa in Overland Park - Periodontics
Lara L Tull Ryan Dds Ms Pa - NPI 1013904564
Lara L Tull Ryan Dds Ms Pa is a Periodontics in Overland Park, Kansas. Lara L Tull Ryan Dds Ms Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Lara L Tull Ryan Dds Ms Pa is 1013904564. The last update date is 2016-04-27.
Lara L Tull Ryan Dds Ms Pa's current location address is 4601 W 109th St, Overland Park, Kansas. You can contact this provider via phone number 9134915548 and fax number 9134910793. The mailing address for Lara L Tull Ryan Dds Ms Pa is 4601 W 109th St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lara L Tull Ryan Dds Ms Pa |
|---|---|
| Address | 4601 W 109th St, Overland Park, Kansas |
| Phone Number | 9134915548 |
| Fax Number | 9134910793 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ryan L Tull Lara |
| Telephone Number | 9134915548 |
NPI Number Detail
| NPI Number | 1013904564 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2016-04-27 |
Provider Mailing Address Detail
| Address | 4601 W 109th St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 66211 |
| Phone Number | 9134915548 |
| Fax Number | 9134910793 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 60284 |
|
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 unique 10-digit identifier code issued to Lara L Tull Ryan Dds Ms Pa by the Centers for Medicare & Medicaid Services?
The Lara L Tull Ryan Dds Ms Pa has been assigned the NPI (National Provider Identifier) 1013904564 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lara L Tull Ryan Dds Ms Pa's facilities are situated?
The facilities of Lara L Tull Ryan Dds Ms Pa are physically located at the following address: 4601 W 109Th St, Overland Park, KS, 66211.
What is Lara L Tull Ryan Dds Ms Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lara L Tull Ryan Dds Ms Pa's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013904564 to Lara L Tull Ryan Dds Ms Pa?
The Centers for Medicare & Medicaid Services assigned the 1013904564 to Lara L Tull Ryan Dds Ms Pa on 2005-09-30.
As of what date was the information pertaining to Lara L Tull Ryan Dds Ms Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lara L Tull Ryan Dds Ms Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-04-27.