| Richard E Patrick DDS PA | |
|
4500 College Blvd Suite 302 Overland Park KS 66211-1799 | |
| (913) 491-1191 | |
| (913) 491-1192 |
| Full Name | Richard E Patrick DDS PA |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4500 College Blvd, Overland Park, Kansas |
| Authorized Official Name and Position | Richard Edward Patrick (PRESIDENT) |
| Authorized Official Contact | 9134911191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E Patrick DDS PA 4500 College Blvd Suite 302 Overland Park KS 66211-1799 Ph: (913) 491-1191 | Richard E Patrick DDS PA 4500 College Blvd Suite 302 Overland Park KS 66211-1799 Ph: (913) 491-1191 |
| NPI Number | 1417088238 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417088238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5541 (Kansas) | Primary |
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