Johnson County Periodontics Dental Implants & Laser Surgery – Periodontics, NPI 1013904564

Johnson County Periodontics Dental Implants & Laser Surgery is a healthcare provider. based in Overland park, Kansas. specializing in Periodontics. The organization holds a License No. 60284 (KS). The NPI Number for Johnson County Periodontics Dental Implants & Laser Surgery is 1013904564

Main info

Organization
Name
Johnson County Periodontics Dental Implants & Laser Surgery
NPI
1013904564
Phone
(913) 491-5548
Address
4601 W 109TH ST
Authorized Official
LARA L TULL RYAN OWNER
Enumeration Date
30 September 2005
Last Update Date
27 April 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Johnson County Periodontics Dental Implants & Laser Surgery

  • Fox Hill Medical Building, 4601, West 109th Street, Overland Park, Johnson County, Kansas, 66211, United States

    SUITE 212

    OVERLAND PARK, KS 66211

    Phone: (913) 491-5548

    Fax: (913) 491-0793

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66211)

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Reviews

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Frequently asked questions

Is there an official ID for Johnson County Periodontics Dental Implants & Laser Surgery in U.S. healthcare records?
The official identifier for Johnson County Periodontics Dental Implants & Laser Surgery is NPI 1013904564.
Is there an active status for Johnson County Periodontics Dental Implants & Laser Surgery?
For scheduling context, Johnson County Periodontics Dental Implants & Laser Surgery is shown as active in the registry.
What clinical focus is listed for Johnson County Periodontics Dental Implants & Laser Surgery?
At a glance, Johnson County Periodontics Dental Implants & Laser Surgery is tied to Periodontics. Clinical services aligned with this taxonomy classification.
What locale is associated with Johnson County Periodontics Dental Implants & Laser Surgery?
Directory geography for Johnson County Periodontics Dental Implants & Laser Surgery centers on Overland Park, Kansas.
When was this NPI issued?
Enumeration for Johnson County Periodontics Dental Implants & Laser Surgery is noted as September 30, 2005 where the registry provides it.

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