Provider Demographics
NPI:1255619110
Name:PAPINSICK, ANTHONY JOHN (DMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOHN
Last Name:PAPINSICK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8625 COLLEGE BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2192
Mailing Address - Country:US
Mailing Address - Phone:913-353-4802
Mailing Address - Fax:
Practice Address - Street 1:8625 COLLEGE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2192
Practice Address - Country:US
Practice Address - Phone:913-353-4802
Practice Address - Fax:913-353-4810
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS612661223G0001X
VA04014133061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice