# RC RHOADS DENTAL, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smiles by the Lake
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568976041
- **Authorized official:** DR. RICHARD DEAN RHOADS JR. DDS (DENTIST)
- **Authorized official phone:** (308) 293-1061

## Contact information

- **Practice address:** 6700 W 121ST ST STE 101, OVERLAND PARK, KS 66209-2028
- **Practice address phone:** (913) 451-2540
- **Mailing address:** 6700 W 121ST ST STE 101, OVERLAND PARK, KS 66209-2028
- **Mailing address phone:** (913) 451-2540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | 61157 | KS | — |

## Other

- **Enumeration date:** 11/20/2017
- **Last updated:** 03/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1508214917 | NPI | — |