Periodontist Pa in Overland Park - Periodontics
Periodontist Pa - NPI 1104948959
Periodontist Pa is a Periodontics in Overland Park, Kansas. Periodontist Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontist Pa is 1104948959. The last update date is 2020-08-22.
Periodontist Pa's current location address is 10870 Benson St, Overland Park, Kansas. You can contact this provider via phone number 9134516158 and fax number 9134519463. The mailing address for Periodontist Pa is 10870 Benson St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontist Pa |
|---|---|
| Address | 10870 Benson St, Overland Park, Kansas |
| Phone Number | 9134516158 |
| Fax Number | 9134519463 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wint L Stanley |
| Credentials | DDS |
| Telephone Number | 9134516158 |
NPI Number Detail
| NPI Number | 1104948959 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10870 Benson St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662101502 |
| Phone Number | 9134516158 |
| Fax Number | 9134519463 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5544 |
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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 identifier code issued to Periodontist Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Periodontist Pa has been assigned the NPI (National Provider Identifier) 1104948959. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Periodontist Pa's facilities are geographically located?
The facilities of Periodontist Pa are physically situated at the following location: 10870 Benson St, Overland Park, KS, 662101502.
What is Periodontist Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Periodontist Pa is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104948959 to Periodontist Pa?
The Periodontist Pa received its 1104948959 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
As of what date were the details related to Periodontist Pa most recently updated or revised?
The information pertaining to Periodontist Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.