# BLUHAWK DENTAL GROUP, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BluHawk Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609313469
- **Authorized official:** DR. RAGAN NEWLAND DDS (OWNER)
- **Authorized official phone:** (913) 215-9664

## Contact information

- **Practice address:** 8033 W 159TH STREET, OVERLAND PARK, KS 66085
- **Practice address phone:** (913) 215-9664
- **Practice address fax:** (913) 800-4507
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 08/05/2022