Provider Demographics
NPI:1952936437
Name:EDWARD M. AMET DDS, MS. PC
Entity Type:Organization
Organization Name:EDWARD M. AMET DDS, MS. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-492-2233
Mailing Address - Street 1:10801 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1657
Mailing Address - Country:US
Mailing Address - Phone:913-492-2233
Mailing Address - Fax:913-492-2234
Practice Address - Street 1:10801 W 87TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1657
Practice Address - Country:US
Practice Address - Phone:913-492-2233
Practice Address - Fax:913-492-2234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty