Provider Demographics
NPI:1700540127
Name:JULIE E BABCOCK DDS, PA
Entity Type:Organization
Organization Name:JULIE E BABCOCK DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BABCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-814-7755
Mailing Address - Street 1:6806 W 83RD ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3956
Mailing Address - Country:US
Mailing Address - Phone:913-814-7755
Mailing Address - Fax:913-814-7455
Practice Address - Street 1:6806 W 83RD ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3956
Practice Address - Country:US
Practice Address - Phone:913-814-7755
Practice Address - Fax:913-814-7455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty