Provider Demographics
NPI:1306697081
Name:DENTISTS OF OVERLAND PARK LLC
Entity type:Organization
Organization Name:DENTISTS OF OVERLAND PARK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHARITY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:913-660-8665
Mailing Address - Street 1:11044 QUIVIRA RD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1239
Mailing Address - Country:US
Mailing Address - Phone:913-469-8010
Mailing Address - Fax:
Practice Address - Street 1:11044 QUIVIRA RD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1239
Practice Address - Country:US
Practice Address - Phone:913-469-8010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental