# BLUE VALLEY DENTAL CARE PA

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

## Provider details

- **NPI number:** 1336210962
- **Authorized official:** DR. MATTHEW R O'KEEFE (DENTIST)
- **Authorized official phone:** (913) 681-5300

## Contact information

- **Practice address:** 7916 W 151ST ST, STANLEY, KS 66223-2118
- **Practice address phone:** (913) 681-5300
- **Practice address fax:** (913) 681-5053
- **Mailing address:** 7916 W 151ST ST, STANLEY, KS 66223-2118
- **Mailing address phone:** (913) 681-5300
- **Mailing address fax:** (913) 681-5053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7163 | KS | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 08/22/2020