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

Periodontal Specialist PA

Organization Periodontics · NPI 1497770200

Periodontal Specialist PA is a Periodontics in Leawood, Kansas. Registered with an NPI since 2006.

In the registry since
2006
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

11401 Nall Ave
Leawood, KS 66211-1674
Phone: (913) 663-4867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1497770200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Thomas — Owner/Periodontist · (913) 663-4867
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 17, 2008
Mailing address11401 Nall Avenue, Leawood, KS 66211-1674

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