# DENTAL PROFESSIONALS OF KANSAS, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF KANSAS, PA
- **Other names:** Family Orthodontics of Olathe
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194145961
- **Legal business name:** DENTAL PROFESSIONALS OF KANSAS, PA
- **Authorized official:** LORI EDMONDS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8468

## Contact information

- **Practice address:** 2001 E SANTA FE ST, OLATHE, KS 66062-1608
- **Practice address phone:** (913) 815-3293
- **Mailing address:** 2001 E SANTA FE ST, OLATHE, KS 66062-1608

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 04/29/2016