# KC CONE BEAM, L.L.C.

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

## Provider details

- **NPI number:** 1073928495
- **Authorized official:** KEVIN P. CUNNINGHAM D.D.S. (OWNER)
- **Authorized official phone:** (913) 599-2228

## Contact information

- **Practice address:** 11900 W 87TH STREET PKWY, SUITE 128, LENEXA, KS 66215-2807
- **Practice address phone:** (913) 599-2228
- **Practice address fax:** (913) 599-2229
- **Mailing address:** 11900 W 87TH STREET PKWY, SUITE 128, LENEXA, KS 66215-2807
- **Mailing address phone:** (913) 599-2228
- **Mailing address fax:** (913) 599-2229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | BL13-00155 | KS | Yes |

## Other

- **Enumeration date:** 06/24/2014
- **Last updated:** 06/24/2014