# IMAGE DENTISTRY PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1497092050
- **Authorized official:** SVETLANA SOBOLEVSKAYA D.D.S. (DENTIST)
- **Authorized official phone:** (913) 402-0009

## Contact information

- **Practice address:** 8160 W 135TH ST, OVERLAND PARK, KS 66223-1112
- **Practice address phone:** (913) 402-0009
- **Practice address fax:** (913) 402-0016
- **Mailing address:** 8160 W 135TH ST, OVERLAND PARK, KS 66223-1112
- **Mailing address phone:** (913) 402-0009
- **Mailing address fax:** (913) 402-0016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60200 | KS | Yes |

## Other

- **Enumeration date:** 01/15/2013
- **Last updated:** 01/15/2013