# GREAT PLAINS ORAL & MAXILLOFACIAL SURGERY, PA

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

## Provider details

- **NPI number:** 1144662602
- **Authorized official:** DR. DANIEL CHRISTOPHER NIELSON DDS (PRESIDENT)
- **Authorized official phone:** (913) 780-3100

## Contact information

- **Practice address:** 965 N MUR LEN RD, OLATHE, KS 66062-1861
- **Practice address phone:** (913) 780-3100
- **Practice address fax:** (913) 780-3101
- **Mailing address:** 965 N MUR LEN RD, OLATHE, KS 66062-1861
- **Mailing address phone:** (913) 780-3100
- **Mailing address fax:** (913) 780-3101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 60141 | KS | Yes |

## Other

- **Enumeration date:** 07/25/2013
- **Last updated:** 03/22/2021
