Provider Demographics
NPI:1609854256
Name:ALTON, GREG M
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:M
Last Name:ALTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S CLAIRBORNE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1723
Mailing Address - Country:US
Mailing Address - Phone:913-782-2231
Mailing Address - Fax:913-782-2246
Practice Address - Street 1:401 S CLAIRBORNE RD
Practice Address - Street 2:SUITE A
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1723
Practice Address - Country:US
Practice Address - Phone:913-782-2231
Practice Address - Fax:913-782-2246
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS603081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice