# THOMAS A DRAKE DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Drake Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124514526
- **Authorized official:** THOMAS DRAKE (DENTIST)
- **Authorized official phone:** (913) 325-0120

## Contact information

- **Practice address:** 140 N 130TH ST, BONNER SPRINGS, KS 66012-9142
- **Practice address phone:** (913) 325-0120
- **Mailing address:** 140 N 130TH ST, BONNER SPRINGS, KS 66012-9142
- **Mailing address phone:** (913) 325-0120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 07/09/2018
- **Last updated:** 04/10/2025