# THE VILLAGE DENTIST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELITE FAMILY DENTAL PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407165202
- **Legal business name:** ELITE FAMILY DENTAL PA
- **Authorized official:** DR. JENNIFER MCAROY DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (913) 789-7455

## Contact information

- **Practice address:** 6925 TOMAHAWK RD, PRAIRIE VILLAGE, KS 66208-2618
- **Practice address phone:** (913) 789-7455
- **Practice address fax:** (913) 789-9809
- **Mailing address:** 6925 TOMAHAWK RD, PRAIRIE VILLAGE, KS 66208-2618
- **Mailing address phone:** (913) 789-7455
- **Mailing address fax:** (913) 789-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60259 | KS | Yes |

## Other

- **Enumeration date:** 09/28/2010
- **Last updated:** 09/28/2010