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

Periodontist PA

Organization Periodontics · NPI 1104948959

Periodontist PA is a Periodontics in Overland Park, Kansas. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10870 Benson St Bldg 21 Ste 2100
Overland Park, KS 66210-1502
Phone: (913) 451-6158
Fax: (913) 451-9463
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 5544 (KS)

Record details

NPI number1104948959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stanley Wint — President · (913) 451-6158
NPI enumeratedApril 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address10870 Benson St, Bldg. 21 Suite 2100, Overland Park, KS 66210-1502

Other providers in Overland Park