Provider Demographics
NPI:1285714584
Name:AMET, EDWARD M I (DDS, BS, MSD, PC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:AMET
Suffix:I
Gender:M
Credentials:DDS, BS, MSD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1657
Mailing Address - Country:US
Mailing Address - Phone:913-492-2233
Mailing Address - Fax:913-492-2234
Practice Address - Street 1:10801 W 87TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1657
Practice Address - Country:US
Practice Address - Phone:913-492-2233
Practice Address - Fax:913-492-2234
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS51531223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics