| Johnson County Dental Care | |
|
5329 W 94th Ter Prairie Village KS 66207-2503 | |
| (913) 341-7440 | |
| (913) 341-6220 |
| Full Name | Johnson County Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5329 W 94th Ter, Prairie Village, Kansas |
| Authorized Official Name and Position | Lisa A Thurlow (DENTIST) |
| Authorized Official Contact | 9133417440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson County Dental Care 5329 W 94th Ter Prairie Village KS 66207-2503 Ph: (913) 341-7440 | Johnson County Dental Care 5329 W 94th Ter Prairie Village KS 66207-2503 Ph: (913) 341-7440 |
| NPI Number | 1417133521 |
|---|---|
| Provider Enumeration Date | 01/18/2008 |
| Last Update Date | 01/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417133521 | NPI | - | NPPES |
| 479134 | Other | KS | BC/BS OF KANSAS |
| 21597040 | Other | KS | BC/BS OF KANSAS CITY |
| 23327037 | Other | KS | BC/BS OF KANSAS CITY |
| 449033 | Other | KS | BC/BS OF KANSAS |
| 449032 | Other | KS | BC/BS OF KANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6925 (Kansas) | Primary |
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