Provider Demographics
NPI:1942651385
Name:HART GROUP INVESTMENT, LLC
Entity Type:Organization
Organization Name:HART GROUP INVESTMENT, LLC
Other - Org Name:HAPPY SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OF HART GROUP INVESTMENTS LLC
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-268-5620
Mailing Address - Street 1:151 S 18TH ST
Mailing Address - Street 2:SUITE Q
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-5635
Mailing Address - Country:US
Mailing Address - Phone:913-333-5085
Mailing Address - Fax:913-333-5084
Practice Address - Street 1:151 S 18TH ST
Practice Address - Street 2:SUITE Q
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-5635
Practice Address - Country:US
Practice Address - Phone:913-333-5085
Practice Address - Fax:913-333-5084
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HART GROUP INVESTMENTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-27
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61237122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1740631043Medicaid