# LENEXA DENTAL GROUP, CHARTERED

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

## Provider details

- **NPI number:** 1982778429
- **Authorized official:** DENNIS C AYER DDS (PRESIDENT)
- **Authorized official phone:** (913) 888-2733

## Contact information

- **Practice address:** 9430 GILLETTE ST, \#100, LENEXA, KS 66215-3766
- **Practice address phone:** (913) 888-2733
- **Practice address fax:** (913) 888-4224
- **Mailing address:** 9430 GILLETTE ST, \#100, LENEXA, KS 66215-3766
- **Mailing address phone:** (913) 888-2733
- **Mailing address fax:** (913) 888-4224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | KS6104 | KS | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020