Provider Type Icon

GRACE DENTAL P.A. NPI 1275657496


NPI Information

NPI: 1275657496
Provider Name: GRACE DENTAL, P.A.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12611 ANTIOCH RD
OVERLAND PARK, KS
ZIP 66213
Phone: (913) 685-9111
Get Directions

GRACE DENTAL, P.A. is a general practice dentist in Overland Park, 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. GRACE DENTAL, P.A. NPI is 1275657496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12611 ANTIOCH RD
OVERLAND PARK, KS
ZIP 66213
Phone: (913) 685-9111
Fax: (913) 685-8486

The provider's authorized official is Michael Danley .
The authorized official title is General Manager and has the following contact phone number (913) 685-9111.

The enumeration date for this NPI number is 3/16/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice6166KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1808110OTHERKANSASUNITED CONCORDIA
213970060OTHERKANSASBCBS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.