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Organization

OVERLAND PARK PERIODONTICS LLC

Active
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Organization

OVERLAND PARK PERIODONTICS LLC

Active
Other names
Overland Park Periodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE SHELBY DMD, MS (OWNER)
(586) 431-8404
Entity
Organization

Contact information

Practice address
11044 QUIVIRA RD, OVERLAND PARK, KS 66210-1239
(913) 791-7576
(913) 791-7577
Mailing address
11044 QUIVIRA RD, OVERLAND PARK, KS 66210-1239
(913) 791-7576
(913) 791-7577

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL

Other

Enumeration date
10/15/2026
Last updated
10/15/2026
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