Fales Pediatric Dentistry

LBN: Fales Pediatric Dentistry
Fales Pediatric Dentistry is an health care organization with primary practice located at 13496 S Arapaho Dr , Olathe KS 66062-1553. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Fales Pediatric Dentistry can be contacted via phone (913) 782-2207, or through Lutz, Konnie C. via phone (913) 782-2207.

Contact Information

Primary practice address
13496 S Arapaho Dr Olathe KS 66062-1553
Phone: (913) 782-2207
Fax: (913) 489-0028
Website:
Map and Directions
Authorized official contact:
Name: Lutz, Konnie C.
Phone: (913) 782-2207

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5859 Kansas

Profile Details

NPI number 1235477688
LBN Legal business name Fales Pediatric Dentistry
DBA Doing business as
Authorized official Lutz, Konnie C.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2013
Last updated Jan 18th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235477688 NPPES
Missouri MEDICAID 405694209
Missouri MEDICAID 100222530C

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