# AFFORDABLE DENTAL OF OLATHE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affordable Dental of Leavenworth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194001370
- **Authorized official:** DR. M CONRAD JOURNEE DDS (DENTIST/OWNER)
- **Authorized official phone:** (816) 392-3112

## Contact information

- **Practice address:** 920 6TH AVE, MEDICAL ARTS BLDG, SUITE 101, LEAVENWORTH, KS 66048-3225
- **Practice address phone:** (913) 682-2595
- **Practice address fax:** (913) 682-2595
- **Mailing address:** 401 S CLAIRBORNE RD, SUITE 201, OLATHE, KS 66062-1735
- **Mailing address phone:** (913) 839-1792
- **Mailing address fax:** (913) 839-1792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60842 | KS | Yes |
| 1223G0001X | General Practice Dentistry | 7100 | KS | — |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 11/01/2011