# RIDGEVIEW FAMILY DENTAL PA

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

## Provider details

- **NPI number:** 1891207122
- **Authorized official:** SCOTT GUEST (COO)
- **Authorized official phone:** (913) 645-0079

## Contact information

- **Practice address:** 18130 W 119TH ST, OLATHE, KS 66061-9532
- **Practice address phone:** (913) 828-2288
- **Mailing address:** 1915 S OHIO CT STE 259, SALINA, KS 67401-6602
- **Mailing address phone:** (785) 404-2070
- **Mailing address fax:** (785) 670-8471

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2017
- **Last updated:** 02/01/2023