# ANN FAY PERIODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fay Periodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477259422
- **Authorized official:** BUFFEY MARIE WEIGEL M (ADMINISTRATOR)
- **Authorized official phone:** (913) 268-9300

## Contact information

- **Practice address:** 207 E 63RD ST, KANSAS CITY, MO 64113-2224
- **Practice address phone:** (913) 268-9300
- **Mailing address:** 6333 LONG AVE STE 201, SHAWNEE, KS 66216-2544
- **Mailing address phone:** (913) 268-9300
- **Mailing address fax:** (913) 268-4202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2023
- **Last updated:** 02/01/2023