Provider Demographics
NPI:1508276866
Name:RHOADS, CASEY LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:LEE
Last Name:RHOADS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:LEE
Other - Last Name:FILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3701 W 106TH ST APT 330
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-8515
Mailing Address - Country:US
Mailing Address - Phone:402-309-6250
Mailing Address - Fax:
Practice Address - Street 1:15151 S BLACKBOB RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3301
Practice Address - Country:US
Practice Address - Phone:913-764-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS611061223P0221X
MO20160295151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry