Provider Demographics
NPI:1689757734
Name:VALERIE D. SAULSBURY, D.D.S., P.A.
Entity Type:Organization
Organization Name:VALERIE D. SAULSBURY, D.D.S., P.A.
Other - Org Name:FAMILY DENTAL PROS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:DEANNE
Authorized Official - Last Name:SAULSBURY-EFFERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-345-1181
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS70641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty