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Organization
RC RHOADS DENTAL, PA
Active
Organization
RC RHOADS DENTAL, PA
Active
Other names
Smiles by the Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DEAN RHOADS JR. DDS (DENTIST)
(308) 293-1061
Entity
Organization
Contact information
Practice address
6700 W 121ST ST STE 101, OVERLAND PARK, KS 66209-2028
(913) 451-2540
Mailing address
6700 W 121ST ST STE 101, OVERLAND PARK, KS 66209-2028
(913) 451-2540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
61157
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508214917
NPI
—
Enumeration date
11/20/2017
Last updated
03/08/2023
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