PERIODONTAL CARE P.A. NPI 1558883181

NPI Information

  • NPI: 1558883181
  • Provider Name: PERIODONTAL CARE, P.A.
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 5000 W 95TH ST STE 270
    PRAIRIE VILLAGE, KS
    ZIP 66207
  • Phone: (913) 341-4141

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NPI Details

PERIODONTAL CARE, P.A. is a periodontics dentist in Prairie Village, 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. PERIODONTAL CARE, P.A. NPI is 1558883181. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5000 W 95TH ST STE 270
PRAIRIE VILLAGE, KS
ZIP 66207-300
Phone: (913) 341-4141
Fax: (913) 341-4432

The provider's authorized official is Anne E Peterson .
The authorized official title is Business Manager and has the following contact phone number (913) 681-8100.

The enumeration date for this NPI number is 7/14/2017 and was last updated on 3/17/2018.

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
11223P0300XDentistPeriodontics2010016137MISSOURIYes

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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