# COMPLETE DENTAL CARE, P.A.

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

## Provider details

- **NPI number:** 1639310964
- **Authorized official:** MRS. GINA HASKETT DSDF (OFFICE MANAGER)
- **Authorized official phone:** (913) 317-6453

## Contact information

- **Practice address:** 11150 PFLUMM ROAD, SUITE 100, LENEXA, KS 66215
- **Practice address phone:** (913) 317-6453
- **Practice address fax:** (913) 469-5104
- **Mailing address:** 11150 S PFLUMM RD, SUITE 100, LENEXA, KS 66215-4810
- **Mailing address phone:** (913) 317-6453
- **Mailing address fax:** (913) 469-5104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60076 | KS | — |
| 1223G0001X | General Practice Dentistry | 6144 | KS | Yes |

## Other

- **Enumeration date:** 03/17/2009
- **Last updated:** 03/17/2009