Provider Demographics
NPI:1235671496
Name:ALBERT DENTAL
Entity Type:Organization
Organization Name:ALBERT DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NATANOV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-948-9488
Mailing Address - Street 1:11504 W 135TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-2892
Mailing Address - Country:US
Mailing Address - Phone:913-948-9488
Mailing Address - Fax:913-948-9499
Practice Address - Street 1:11504 W 135TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-2892
Practice Address - Country:US
Practice Address - Phone:913-948-9488
Practice Address - Fax:913-948-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60191344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi