# ANTIOCH DENTISTRY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Antioch Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720490261
- **Authorized official:** DR. TAYLOR SUTHERLAND DDS (OWNER)
- **Authorized official phone:** (913) 671-7066

## Contact information

- **Practice address:** 5754 ANTIOCH RD, MERRIAM, KS 66202-2015
- **Practice address phone:** (913) 671-7066
- **Practice address fax:** (913) 671-7058
- **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:** 06/02/2014
- **Last updated:** 05/11/2022