Leavenworth Oral & Maxillofacial Surgeons PA
Leavenworth Oral & Maxillofacial Surgeons PA is an Oral and Maxillofacial Pathology Dentistry in Leavenworth, Kansas. Licensed in Kansas. Registered with an NPI since 2006.
- Licensed in
- KS
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3550 S 4th St Ste 240Leavenworth, KS 66048-5071
Phone: (913) 772-4334
Fax: (913) 772-0851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Pathology Dentistry (primary) | Taxonomy 1223P0106X · Licence 4672 (KS) |
|---|
Record details
| NPI number | 1609841493 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Evans — President · (913) 772-4334 |
| NPI enumerated | February 23, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3550 S 4th St, Suite 240, Leavenworth, KS 66048-5071 |
Other providers in Leavenworth
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Dr. Larry D Evans, DDS
3550 S 4th St Ste 240, Leavenworth, KS 66048-5071 · (913) 772-4334