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Organization
LARRY D SHELDON DDS CHARTERED
Active
Organization
LARRY D SHELDON DDS CHARTERED
Active
Other names
Sheldon Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL VINCENT SHELDON DDS (PRESIDENT)
(913) 782-7580
Entity
Organization
Contact information
Practice address
125 E PARK ST, OLATHE, KS 66061-3428
(913) 782-7580
(913) 782-0122
Mailing address
125 E PARK ST, OLATHE, KS 66061-3428
(913) 782-7580
(913) 782-0122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08634017
BCBS KC
MO
01
—
450463
BCBS KS
KS
01
—
974909
UNITED CONCORDIA
—
Enumeration date
09/23/2005
Last updated
08/22/2020
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