SWEET TOOTH PEDIATRIC DENTISTRY & ORTHODONTIC SPECIALISTS LLC (NPI# 1437616547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437616547 |
| Entity Type | Organization |
| Organization Name | SWEET TOOTH PEDIATRIC DENTISTRY & ORTHODONTIC SPECIALISTS LLC |
| Practice Address |
7381 W 133rd St Ste 303 Overland Park KS 66213-4779 |
| Mailing Address |
1110 Yellowstone Ave Ste 209 Pocatello ID 83201-4312 |
| Practice Telephone | 4803435072 |
| Mailing Telephone | 4803435072 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-04-26 |
| Authorized Official Name | DR. WAYNE DOBBINS (OWNER/CEO) |
| Authorized Official Telephone | 4803435072 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
7381 W 133RD ST STE 303 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-4779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497959688 | John William Michael Carter | Dentist | 7381 W 133rd St Ste 303, Overland Park, KS 66213-4779 | 2007-06-12 |
| 1578978581 | Wayne Dobbins | Dentist | 7381 W 133rd St Ste 303, Overland Park, KS 66213-4779 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942795976 | Blue Valley Pediatric Dentistry LLC | Dentist | 7560 W 160th St, Overland Park, KS 66085 | 2018-06-22 |
| 1568880581 | Conrad Parks | Dentist | 4601 W 109th St Ste 217, Overland Park, KS 66211-1314 | 2014-04-07 |
| 1881937399 | Vanessa Renee Axelsen | Dentist | 7560 W 160th Street, Overland Park, KS 66085-6608 | 2013-04-03 |
| 1609076694 | Smiles Dentistry for Kids, LLC | Dentist | 14700 Metcalf Ave Ste 110, Overland Park, KS 66223-2204 | 2007-07-19 |
| 1689893737 | Glenn V Hemberger | Dentist | 8575 W 110th St Ste 310, Overland Park, KS 66210-2774 | 2007-04-25 |
| 1306861190 | Nicole Hawkinson | Dentist | 6540 W 95th St, Overland Park, KS 66212-1435 | 2006-07-13 |
| 1790774164 | William Harold Doyle | Dentist | 5370 College Blvd, Suite 120, Overland Park, KS 66211-1621 | 2005-10-19 |
| 1578978581 | Wayne Dobbins | Dentist | 7381 W 133rd St Ste 303, Overland Park, KS 66213-4779 | 2014-06-27 |
| 1689084311 | Parks Children's Dentistry | Dentist | 4601 W 109th St, Suite 217, Overland Park, KS 66211-1318 | 2014-05-02 |
| 1881886943 | John P Roth | Dentist | 14465 Metcalf Ave, Overland Park, KS 66223-2990 | 2007-08-13 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
Please comment or provide details below to improve the information on SWEET TOOTH PEDIATRIC DENTISTRY & ORTHODONTIC SPECIALISTS LLC.
| 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.