Provider Demographics
NPI:1568627032
Name:PRAIRIE POINTE ORTHODONTICS, PA
Entity Type:Organization
Organization Name:PRAIRIE POINTE ORTHODONTICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:SAUTER
Authorized Official - Last Name:NEUER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:913-393-9911
Mailing Address - Street 1:11164 S NOBLE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7530
Mailing Address - Country:US
Mailing Address - Phone:913-393-9911
Mailing Address - Fax:913-393-3599
Practice Address - Street 1:11164 S NOBLE DR STE 101
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7530
Practice Address - Country:US
Practice Address - Phone:913-393-9911
Practice Address - Fax:913-393-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS601631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty