Organization
S&G FAMILY DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNE MARIE SCHOPPER D.D.S. (PRESIDENT)
(913) 451-2929
Entity
Organization
Contact information
Practice address
11313 ASH ST, LEAWOOD, KS 66211-1643
(913) 451-2929
(913) 451-2959
Mailing address
11313 ASH ST, LEAWOOD, KS 66211-1643
(913) 451-2929
(913) 451-2959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5960
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
LYNNE M. SCHOPPER, D.D.S.
KS
01
—
1962419127
DR. NANCY ADDY
KS
01
—
2
JARRETT S. GROSDIDIER, D.
KS
Enumeration date
11/13/2006
Last updated
05/14/2015
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