# DEER CREEK FAMILY DENTAL

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

## Provider details

- **NPI number:** 1992878987
- **Authorized official:** DR. JAHN ROEDEMEIER D.D.S. (OWNER)
- **Authorized official phone:** (913) 345-2273

## Contact information

- **Practice address:** 13328 METCALF AVE, OVERLAND PARK, KS 66213-2804
- **Practice address phone:** (913) 345-2273
- **Practice address fax:** (913) 345-8102
- **Mailing address:** 13328 METCALF AVE, OVERLAND PARK, KS 66213-2804
- **Mailing address phone:** (913) 345-2273
- **Mailing address fax:** (913) 345-8102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5872 | KS | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 04/14/2014