Organization
JEREMY R. FRY, D.D.S., M.S., LLC
Active
Organization
JEREMY R. FRY, D.D.S., M.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY R FRY D.D.S., M.S., LLC (OWNER)
(913) 469-9191
Entity
Organization
Contact information
Practice address
11940 QUIVIRA RD, OVERLAND PARK, KS 66213-2222
(913) 469-9191
(913) 469-6491
Mailing address
11940 QUIVIRA RD, OVERLAND PARK, KS 66213-2222
(913) 469-9191
(913) 469-6491
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60358
KS
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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