Provider Demographics
NPI:1427516848
Name:NAASZ, GRAHAM (DDS)
Entity type:Individual
Prefix:
First Name:GRAHAM
Middle Name:
Last Name:NAASZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14503 BENSON ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-2211
Mailing Address - Country:US
Mailing Address - Phone:913-660-8838
Mailing Address - Fax:
Practice Address - Street 1:4861 W 134TH ST STE A
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66209-7826
Practice Address - Country:US
Practice Address - Phone:913-341-0018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS616461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice