Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olathe Pediatric Dental, PA

Organization Pediatric Dentistry · NPI 1902612112

Olathe Pediatric Dental, PA is a Pediatric Dentistry in Olathe, Kansas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12708 S Blackbob Rd Ste B
Olathe, KS 66062-1409
Phone: (913) 225-9749
Fax: (913) 490-2910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1902612112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Creed Cardon — President · (918) 998-0996
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619

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