Organization
MCKNIGHT & OLIVER PERIODONTICS
Active
Other names
Sidney A McKnight Jr DDS CHTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. N RANDOLPH OLIVER DDS (PERIODONTIST)
(913) 649-4978
Entity
Organization
Contact information
Practice address
2200 W 75TH STREET, PRAIRIE VILLAGE, KS 66208
(913) 649-4978
(913) 649-0926
Mailing address
2200 W 75TH STREET, PRAIRIE VILLAGE, KS 66208
(913) 649-4978
(913) 649-0926
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5907
KS
1223P0300X
Periodontics
7083
KS
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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