Provider Demographics
NPI:1255866786
Name:PRICE, JULIA MARGARET (DDS)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MARGARET
Last Name:PRICE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5321 W 151ST ST
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66224-9637
Mailing Address - Country:US
Mailing Address - Phone:913-553-5222
Mailing Address - Fax:
Practice Address - Street 1:1270 W AMITY ST
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:KS
Practice Address - Zip Code:66053-7815
Practice Address - Country:US
Practice Address - Phone:913-214-8482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2022-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20180144191223G0001X
390200000X
KS615081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program