# PHYE FAMILY DENTISTRY, P.A.

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

## Provider details

- **NPI number:** 1861901639
- **Authorized official:** MRS. KIMBERLY ANN RESZ RDH, BS (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (913) 782-2231

## Contact information

- **Practice address:** 401 S. CLAIRBORNE, SUITE A, OLATHE, KS 66062
- **Practice address phone:** (913) 782-2231
- **Practice address fax:** (913) 782-2246
- **Mailing address:** 401 S CLAIRBORNE RD STE A, OLATHE, KS 66062-1735
- **Mailing address phone:** (913) 782-2231
- **Mailing address fax:** (913) 782-2246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60308 | KS | — |
| 122300000X | Dentist | 60739 | KS | — |
| 122300000X | Dentist | 6899 | KS | Yes |
| 122300000X | Dentist | 7126 | KS | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 09/25/2017
- **Last updated:** 07/21/2022