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Organization

KC SMILE, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSS S HEADLEY DDS (OWNER)
(913) 491-6874
Entity
Organization

Contact information

Practice address
12850 METCALF AVE, STE 200, OVERLAND PARK, KS 66213-2622
(913) 491-6874
(913) 491-6917
Mailing address
12850 METCALF AVE, STE 200, OVERLAND PARK, KS 66213-2622
(913) 491-6874
(913) 491-6917

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
60571
KS
122300000X
Dentist
Primary
6953
KS
1223G0001X
General Practice Dentistry
5389
KS
1223G0001X
General Practice Dentistry
6953
KS

Other

Enumeration date
11/14/2006
Last updated
06/10/2014
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