# MILLER SULLIVAN & ASSOCIATES

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

## Provider details

- **NPI number:** 1740363977
- **Authorized official:** DR. RICHARD E MILLER DDS (CO OWNER)
- **Authorized official phone:** (913) 492-5052

## Contact information

- **Practice address:** 12136 W 87TH STREET PARKWAY, LENEXA, KS 66215
- **Practice address phone:** (913) 492-5052
- **Practice address fax:** (913) 492-7039
- **Mailing address:** 12136 W 87TH STREET PARKWAY, LENEXA, KS 66215
- **Mailing address phone:** (913) 492-5052
- **Mailing address fax:** (913) 492-7039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5770 | KS | — |
| 1223G0001X | General Practice Dentistry | 6127 | KS | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020