# OVERLAND PARK DENTISTRY, PA

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

## Provider details

- **NPI number:** 1558895508
- **Authorized official:** DR. CHARLES KIMES DDS (OWNER)
- **Authorized official phone:** (913) 647-8700

## Contact information

- **Practice address:** 8700 W 151ST ST, OVERLAND PARK, KS 66221-8705
- **Practice address phone:** (913) 647-8700
- **Mailing address:** 8700 W 151ST ST, OVERLAND PARK, KS 66221-8705
- **Mailing address phone:** (913) 647-8700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6058 | KS | Yes |

## Other

- **Enumeration date:** 04/17/2017
- **Last updated:** 04/17/2017