# STEPHANIE M. WARDEN, D.D.S., P.A.

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

## Provider details

- **NPI number:** 1982748984
- **Authorized official:** DR. STEPHANIE MICHELLE WARDEN DDS (PRESIDENT)
- **Authorized official phone:** (913) 825-2500

## Contact information

- **Practice address:** 2200 W 75TH ST, SUITE 101, PRAIRIE VILLAGE, KS 66208-3505
- **Practice address phone:** (913) 825-2500
- **Practice address fax:** (913) 825-2501
- **Mailing address:** 2200 W 75TH ST, SUITE 101, PRAIRIE VILLAGE, KS 66208-3505
- **Mailing address phone:** (913) 825-2500
- **Mailing address fax:** (913) 825-2501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7167 | KS | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 08/22/2020
