# MISSION DENTAL LLC

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

## Provider details

- **NPI number:** 1093633422
- **Authorized official:** DR. EDWARD SHAMIEH DDS (OWNER)
- **Authorized official phone:** (913) 379-2017

## Contact information

- **Practice address:** 5437 JOHNSON DR, MISSION, KS 66205-2912
- **Practice address phone:** (913) 379-2017
- **Practice address fax:** (913) 318-6203
- **Mailing address:** 5437 JOHNSON DR, MISSION, KS 66205-2912
- **Mailing address phone:** (913) 379-2017
- **Mailing address fax:** (913) 318-6203

## Taxonomy

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

## Other

- **Enumeration date:** 07/06/2026
- **Last updated:** 07/06/2026