OVERLAND PARK PERIODONTICS LLC NPI 1124924337

NPI Information

  • NPI: 1124924337
  • Provider Name: OVERLAND PARK PERIODONTICS LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • :
  • Address: 11044 QUIVIRA RD
    OVERLAND PARK, KS
    ZIP 66210
  • Phone: (913) 791-7576

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NPI Details

OVERLAND PARK PERIODONTICS LLC is a dental clinic center in Overland Park, KS. OVERLAND PARK PERIODONTICS LLC NPI is 1124924337. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

11044 QUIVIRA RD
OVERLAND PARK, KS
ZIP 66210-239
Phone: (913) 791-7576
Fax: (913) 791-7577

The provider's authorized official is Stephanie Shelby .
The authorized official title is Owner and has the following contact phone number (586) 431-8404.

The enumeration date for this NPI number is 10/15/2026 and was last updated on 10/15/2026.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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