| Fales Pediatric Dentistry | |
|
13496 S Arapaho Dr Olathe KS 66062-1553 | |
| (913) 782-2207 | |
| (913) 489-0028 |
| Full Name | Fales Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13496 S Arapaho Dr, Olathe, Kansas |
| Authorized Official Name and Position | Konnie C. Lutz (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9137822207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fales Pediatric Dentistry 13496 S Arapaho Dr Olathe KS 66062-1553 Ph: (913) 782-2207 | Fales Pediatric Dentistry 13496 S Arapaho Dr Olathe KS 66062-1553 Ph: (913) 782-2207 |
| NPI Number | 1235477688 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235477688 | NPI | - | NPPES |
| 405694209 | Medicaid | MO | |
| 100222530C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5859 (Kansas) | Primary |
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