Individual
NICHOLAS JOSEPH NATANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11504 W 135TH ST, OVERLAND PARK, KS 66221-2892
(913) 948-9488
Mailing address
11611 W 132ND TER, OVERLAND PARK, KS 66213-4536
(913) 406-2154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62401
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KS
Other
Enumeration date
02/19/2026
Last updated
06/12/2026
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