# UPCARE DENTAL OLATHE LLC

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

## Provider details

- **NPI number:** 1609405398
- **Authorized official:** SHIVAM PARBHU DDS (CEO)
- **Authorized official phone:** (314) 550-3005

## Contact information

- **Practice address:** 790 N RIDGEVIEW RD, OLATHE, KS 66061-2900
- **Practice address phone:** (816) 237-0805
- **Mailing address:** 3719 MADISON AVE, KANSAS CITY, MO 64111-3813
- **Mailing address phone:** (314) 550-3005

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2020
- **Last updated:** 04/03/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 61521 | DDS LICENSE | KS |