# LOVE TO SMILE ONSITE, LLC

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

## Provider details

- **NPI number:** 1538718879
- **Authorized official:** DR. DAVID A JACKSON DDS (PARTNER DENTIST)
- **Authorized official phone:** (913) 491-1200

## Contact information

- **Practice address:** 10925 ANTIOCH RD STE 201, OVERLAND PARK, KS 66210-2119
- **Practice address phone:** (913) 491-1200
- **Practice address fax:** (913) 491-1205
- **Mailing address:** 10925 ANTIOCH RD STE 201, OVERLAND PARK, KS 66210-2119
- **Mailing address phone:** (913) 491-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2019
- **Last updated:** 09/09/2019