# SMILES OF KANSAS CITY

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

## Provider details

- **NPI number:** 1215274352
- **Authorized official:** DR. DAWN LAREE BERKVAM DDS (DENTIST/OWNER)
- **Authorized official phone:** (913) 254-1300

## Contact information

- **Practice address:** 10127 CHERRY LN, SUITE E, LENEXA, KS 66220-9763
- **Practice address phone:** (913) 254-1300
- **Practice address fax:** (913) 254-1511
- **Mailing address:** 10127 CHERRY LN, SUITE E, LENEXA, KS 66220-9763
- **Mailing address phone:** (913) 254-1300
- **Mailing address fax:** (913) 254-1511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2077769 | KS | Yes |

## Other

- **Enumeration date:** 01/09/2013
- **Last updated:** 01/09/2013