VILLAGE COMPLETE DENTISTRY LLC NPI 1811571896

NPI Information

NPI: 1811571896
Provider Name: VILLAGE COMPLETE DENTISTRY, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4121 W 83RD ST STE 137
PRAIRIE VILLAGE, KS
ZIP 66208
Phone: (913) 381-4700
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VILLAGE COMPLETE DENTISTRY, LLC is a dental clinic center in Prairie Village, KS. VILLAGE COMPLETE DENTISTRY, LLC NPI is 1811571896. The provider is registered as an organization entity type.

The provider's business location address is:

4121 W 83RD ST STE 137
PRAIRIE VILLAGE, KS
ZIP 66208-323
Phone: (913) 381-4700

The provider's authorized official is Blair Edgington Hannaman .
The authorized official title is Member/dentist and has the following contact phone number (913) 381-4700.

The enumeration date for this NPI number is 5/6/2021 and was last updated on 5/6/2021.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 11/14/2023

NPI Synchronization or Removal

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