Individual
DR. NOAH BENJAMIN TALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13650 ROE BLVD, LEAWOOD, KS 66224-3757
(913) 491-5040
Mailing address
2825 W 176TH ST, OVERLAND PARK, KS 66085-8542
(913) 617-4867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62387
KS
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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