# NEWBY ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kansas City Dental Implants and Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396552519
- **Authorized official:** BRENT NEWBY (OWNER/ORAL SURGEON)
- **Authorized official phone:** (913) 912-2279

## Contact information

- **Practice address:** 7701 W 119TH ST, OVERLAND PARK, KS 66213-1103
- **Practice address phone:** (913) 912-2279
- **Mailing address:** 7701 W 119TH ST, OVERLAND PARK, KS 66213-1103
- **Mailing address phone:** (913) 912-2279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2024
- **Last updated:** 01/13/2025