Blum Family Dentistry, L.L.C.
Organization Active NPI General Practice Dentistry · Bonner Springs, KS
NPI 1154656148 · NPPES record last updated Oct 8, 2009
Key facts
- NPI
- 1154656148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 60323 (KS)
- Legal business name
- BLUM FAMILY DENTISTRY, L.L.C.
- Practice address
- 216 E 2ND St
Bonner Springs, KS 66012-1002 - Phone
- (913) 422-5066
- Fax
- (913) 422-8176
- NPI assigned
- Oct 8, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Steven Wayne Blum Jr., D.D.S.
- Title
- Dentist/Owner
- Phone
- (913) 422-5066
National Provider Directory
Locations
216 E 2nd St
Bonner Springs, KS 66012
Phone (913) 422-5066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 60323 | KS | Yes |
Addresses
Primary practice location
216 E 2ND St
Bonner Springs, KS 66012-1002
Mailing address
216 E 2ND St
Bonner Springs, KS 66012-1002
Phone (913) 422-5066
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- Breanna Boulanger
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- Lisa Buchholz
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All providers in Bonner Springs, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.