KANSAS CITY KANSAS DENTAL ASSOCIATES PA NPI 1114028578

NPI Information

  • NPI: 1114028578
  • Provider Name: KANSAS CITY KANSAS DENTAL ASSOCIATES PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 753 STATE AVE
    STE 665
    KANSAS CITY, KS
    ZIP 66101
  • Phone: (913) 321-4385

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NPI Details

KANSAS CITY KANSAS DENTAL ASSOCIATES PA is a general practice dentist in Kansas City, KS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KANSAS CITY KANSAS DENTAL ASSOCIATES PA NPI is 1114028578. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

753 STATE AVE
STE 665
KANSAS CITY, KS
ZIP 66101-516
Phone: (913) 321-4385
Fax: (913) 321-4037

The provider's authorized official is Jan M Carlson .
The authorized official title is Office Administrator and has the following contact phone number (913) 321-4385.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice7128KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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