# KC COMPLETE PROSTHODONTICS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KC Complete Prosthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306365754
- **Authorized official:** DR. ROBERT ANDREW SPARKS DMD (OWNER)
- **Authorized official phone:** (660) 216-2514

## Contact information

- **Practice address:** 11401 NALL AVE STE 102, LEAWOOD, KS 66211-1850
- **Practice address phone:** (913) 703-5599
- **Mailing address:** 11401 NALL AVE STE 102, LEAWOOD, KS 66211-1850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 61139 | KS | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 09/18/2017