PERIODONTIST PA is a periodontics dentist in Overland Park, KS. The provider is 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 structures and tissues. PERIODONTIST PA NPI is 1104948959. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
10870 BENSON ST
BLDG. 21 SUITE 2100
OVERLAND PARK, KS
ZIP 66210-502
Phone: (913) 451-6158
Fax: (913) 451-9463
The provider's authorized official is Stanley L Wint .
The authorized official title is President and has the following contact phone number (913) 451-6158.
The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.