Provider Demographics
NPI:1144393943
Name:AYER, DENNIS C (DDS)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:C
Last Name:AYER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 NAVAJO WEST
Mailing Address - Street 2:
Mailing Address - City:LAKE QUIVIRA
Mailing Address - State:KS
Mailing Address - Zip Code:66217-8653
Mailing Address - Country:US
Mailing Address - Phone:913-985-0132
Mailing Address - Fax:913-469-5104
Practice Address - Street 1:2301 W 143RD ST
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66224-5909
Practice Address - Country:US
Practice Address - Phone:816-985-0132
Practice Address - Fax:816-985-0132
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS61041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice