Organization
CAPSTONE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEMMLING DDS (PRESIDENT)
(913) 396-4800
Entity
Organization
Contact information
Practice address
17212 MIDLAND DR, SHAWNEE, KS 66217
(913) 396-4800
Mailing address
17212 MIDLAND DR, SHAWNEE, KS 66217
(913) 396-4800
(913) 396-4805
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60562
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306007844
TYPE 1 NPI
—
Enumeration date
07/23/2010
Last updated
07/23/2010
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