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Organization

RC RHOADS DENTAL, PA

Active
Other names
Smiles by the Lake
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD DEAN RHOADS JR. DDS (DENTIST)
(308) 293-1061
Entity
Organization

Contact information

Practice address
6700 W 121ST ST STE 101, OVERLAND PARK, KS 66209-2028
(913) 451-2540
Mailing address
6700 W 121ST ST STE 101, OVERLAND PARK, KS 66209-2028
(913) 451-2540

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center
61157
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508214917
NPI
Enumeration date
11/20/2017
Last updated
03/08/2023
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