# STEVEN D. PENDLETON DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023064607
- **Authorized official:** MS. JAN M CARLSON (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (913) 299-0704

## Contact information

- **Practice address:** 8919 PARALLEL PKWY, STE 309, KANSAS CITY, KS 66112-1636
- **Practice address phone:** (913) 299-0704
- **Practice address fax:** (913) 299-3008
- **Mailing address:** 8919 PARALLEL PKWY, STE 309, KANSAS CITY, KS 66112-1636
- **Mailing address phone:** (913) 299-0704
- **Mailing address fax:** (913) 299-3008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7128 | KS | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020