Organization
MISSION DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SHAMIEH DDS (OWNER)
(913) 379-2017
Entity
Organization
Contact information
Practice address
5437 JOHNSON DR, MISSION, KS 66205-2912
(913) 379-2017
(913) 318-6203
Mailing address
5437 JOHNSON DR, MISSION, KS 66205-2912
(913) 379-2017
(913) 318-6203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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