Organization
PERIODONTAL CARE LEE'S SUMMIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY JOHNSON (DIRECTOR OF OPERATIONS)
(913) 379-9498
Entity
Organization
Contact information
Practice address
3470 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2330
(816) 524-9800
Mailing address
3470 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2330
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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