# PEPPES DENTAL GROUP P.A.

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

## Provider details

- **NPI number:** 1053526277
- **Authorized official:** DR. GREGORY JOHN PEPPES D.D.S. (OWNER)
- **Authorized official phone:** (913) 642-3939

## Contact information

- **Practice address:** 11551 GRANADA LN, SUITE 200, LEAWOOD, KS 66211-1454
- **Practice address phone:** (913) 642-3939
- **Practice address fax:** (913) 642-3508
- **Mailing address:** 11551 GRANADA LN, SUITE 200, LEAWOOD, KS 66211-1454
- **Mailing address phone:** (913) 642-3939
- **Mailing address fax:** (913) 642-3508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020