Provider Demographics
NPI:1982591723
Name:RADIANT GRIN SOLUTIONS LLC
Entity type:Organization
Organization Name:RADIANT GRIN SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAVKIRAN
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:WARYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-952-1978
Mailing Address - Street 1:502 SHAWNEE ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-1957
Mailing Address - Country:US
Mailing Address - Phone:913-952-1978
Mailing Address - Fax:
Practice Address - Street 1:502 SHAWNEE ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-1957
Practice Address - Country:US
Practice Address - Phone:913-952-1978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental