Provider Demographics
NPI:1518749100
Name:PFD PARTNERSHIP, LLC
Entity Type:Organization
Organization Name:PFD PARTNERSHIP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-782-2246
Mailing Address - Street 1:401 S CLAIRBORNE RD STE A
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1735
Mailing Address - Country:US
Mailing Address - Phone:913-782-2246
Mailing Address - Fax:913-782-2246
Practice Address - Street 1:401 S CLAIRBORNE RD STE A
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1735
Practice Address - Country:US
Practice Address - Phone:913-782-2246
Practice Address - Fax:913-782-2246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty