Provider Demographics
NPI:1467464412
Name:SAULSBURY-EFFERTZ, VALERIE D (DDS)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:D
Last Name:SAULSBURY-EFFERTZ
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 1:9906 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1756
Mailing Address - Country:US
Mailing Address - Phone:913-345-1181
Mailing Address - Fax:913-345-1823
Practice Address - Street 1:9906 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1756
Practice Address - Country:US
Practice Address - Phone:913-345-1181
Practice Address - Fax:913-345-1823
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS70641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS7064OtherDELTA DENTAL
KS986477OtherUNITED CONCORDIA
MO26169016OtherBLUE CROSS BLUE SHIELD