Provider Demographics
NPI:1689998528
Name:MOHN & SMILEY DENTAL LLC
Entity Type:Organization
Organization Name:MOHN & SMILEY DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-402-8888
Mailing Address - Street 1:13430 BRIAR ST.
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209
Mailing Address - Country:US
Mailing Address - Phone:913-402-8888
Mailing Address - Fax:913-402-8808
Practice Address - Street 1:13430 BRIAR ST.
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66209
Practice Address - Country:US
Practice Address - Phone:913-402-8888
Practice Address - Fax:913-402-8808
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOHN & SMILEY DENTAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS607421223G0001X
KS603461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty