MIDWEST ORAL & MAXILLOFACIAL SURGERY, PA


Address: 11551 Granada Lane, 100, Leawood, KS 66211-1914
Phone: 9134914488

MIDWEST ORAL & MAXILLOFACIAL SURGERY, PA (NPI# 1114162104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114162104
Entity Type Organization
Organization Name MIDWEST ORAL & MAXILLOFACIAL SURGERY, PA
Practice Address 11551 Granada Lane
100
Leawood
KS 66211-1914
Practice Telephone 9134914488
Practice Fax Number 9134915073
Mailing Telephone 9134914488
Mailing Fax Number 9134915073
Enumeration Date 2008-12-05
Last Update Date 2012-11-15
Authorized Official Name DR. STEVEN D GREEN (D.D.S.)
Authorized Official Telephone 9133346000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Office Location

Street Address 11551 GRANADA LANE
100
City LEAWOOD
State KS
Zip Code 66211-1914

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336611821 Baillie Rose Woydziak Social Worker 5805 W 110th Street, Overland Park, KS 66211 2018-12-20
1467920389 Ku Medwest Ambulatory Surgery Center, LLC Clinic/Center 10720 Nall Avenue, Overland Park, KS 66211 2018-11-08
1235615931 Janice Carollo Physical Therapy Assistant 11611 Granada Lane, Leawood, KS 66211 2018-07-16
1720572555 Trevor Lee Elmer Physical Therapist 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 2018-06-15
1043746555 Overland Park Surgical Suites, LLC Clinic/Center 6650 W 110th St Ste 300, Overland Park, KS 66211 2017-05-03
1619313665 Vcphcs Xiv, LLC Clinic/Center 6331 W. 110th Street, Overland Park, KS 66211 2013-05-17
1528334950 Scott Anthony Hardouin Surgery 5100 W 110th St Unit 300, Overland Park, KS 66211 2012-03-29
1386917003 Children's Physical Therapy Associates Physical Therapist 6600 College Boulevard, Suite 307, Overland Park, KS 66211 2012-02-10
1871876250 Amber Diane Dalzell Social Worker 10965 Granada Ln Ste 102, Overland Park, KS 66211 2011-09-22
1912298001 Stephen Vincent Hiatt Orthopaedic Surgery 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 2011-04-25
Find all providers in zip 66211

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396362638 Philip J Gordon Dds Pa Dentist 3628 W 95th St, Leawood, KS 66206-2035 2020-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902170483 Matthew C. Lowe Dds Inc Dentist 2711 S. Rouse St., Ste A, Mt. Carmel Plaza, Pittsburg, KS 66762 2012-03-01
1639449259 John R Provenzano Dds,pa Dentist 1515 S Clifton Ave Ste 120, Wichita, KS 67218-2951 2012-01-12
1013220813 Kenneth W. Nelson, Dds, Pa Dentist 1919 N. Webb Rd, Wichita, KS 67206-3405 2010-07-21
1699099465 Mohammad Nomani Dentist 4201 Anderson Ave Ste E, Manhattan, KS 66503-7603 2010-03-22
1578724225 Matthew C. Lowe, Dds, PC Dentist 2711 S Rouse St Ste A, Pittsburg, KS 66762-6621 2008-06-24
1144403536 Brendan Bell Dentist 2004 Clock Tower Plz # 130, Manhattan, KS 66503-6403 2007-12-10
1114106739 S Kirk Vincent D.d.s., L.c. Dentist 4811 Bob Billings Parkway, Suite A, Lawrence, KS 66049 2007-10-31
1992843510 Richard Martin Oakley Dentist 5811 Nall Ave, Mission, KS 66202-2731 2007-02-03
1912077116 Emporia Oral Surgery Lc Dentist 2510 W 15th Ave, Emporia, KS 66801-6102 2006-11-08
1356423495 Ottawa Oral Surgery Lc Dentist 107 E 23rd St, Ste 3 Ottawa Oral Surgery Lc, Ottawa, KS 66067 2006-10-19
Find all providers with the same taxonomy

Competitor

Search similar providers

City LEAWOOD
Zip Code 66211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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