# OVERLAND PARK MODERN DENTISTRY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Overland Park Modern Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215367172
- **Authorized official:** DR. MATTHEW H YIP DDS (OWNER)
- **Authorized official phone:** (913) 851-5110

## Contact information

- **Practice address:** 13316 METCALF AVE, OVERLAND PARK, KS 66213-2804
- **Practice address phone:** (913) 851-5110
- **Practice address fax:** (913) 851-0321
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2013
- **Last updated:** 11/13/2013