Provider Demographics
NPI:1003668831
Name:AFFORDABLE DENTURES & IMPLANTS - OVERLAND PARK, P.A.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - OVERLAND PARK, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DASARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-498-8594
Mailing Address - Street 1:7412 W 121ST ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-1203
Mailing Address - Country:US
Mailing Address - Phone:913-498-8594
Mailing Address - Fax:
Practice Address - Street 1:7412 W 121ST ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1203
Practice Address - Country:US
Practice Address - Phone:913-498-8594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty