Richard L. Winburn, DDS P.A.
Dentist, General Practice in Overland Park, KS. Organization (NPI-2).
NPI number1417153305
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1417153305
- Entity type
- Organization (NPI-2)
- Legal business name
- Richard L. Winburn, DDS P.A.
- Organization subpart
- No
- Enumeration date
- Jun 26, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 60062 | KS | Yes |
Practice location
10351 Mastin StOverland Park, KS 66212-5452
Phone 913-492-5180 · Fax 913-492-0338
Mailing address
10351 Mastin StOverland Park, KS 66212-5452
Phone 913-492-5180 · Fax 913-492-0338
Authorized official
Richard Larry Winburn
Owner
9134925180
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