is a Periodontology Clinic in Overland Park, Kansas. It is located at 4601 W. 109th St., Suite 212, Overland Park, KS and its contact number is 913-491-5548. The authorized person for is Lara L Tull Ryan
who is Owner of the clinic and their contact number is 913-491-5548. The primary license number for is 60284 (Periodontics) in Kansas. Clinic is specialized in that branch 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.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Periodontology
Clinic Address:
4601 W. 109th St., Suite 212, Overland Park, Kansas, 66211
Phone:
913-491-5548
Fax:
913-491-0793
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Lara L Tull Ryan
Position:
Owner
Contact Number:
913-491-5548
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1013904564
NPI Enumeration Date:
30 Sep, 2005
NPI Last Update On:
27 Apr, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Periodontics
60284
Kansas
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4601 W 109th St, Suite 212 Overland Park, Kansas
Zip:
66211
Phone Number:
913-491-5548
Fax Number:
913-491-0793
Patients can reach at 4601 W. 109th St., Suite 212, Overland Park, Kansas or can call to book an appointment on 913-491-5548. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.