Advanced Dental P.a.

Organization Active NPI General Practice Dentistry · Paola, KS

NPI 1285827014 · NPPES record last updated Aug 24, 2007

Key facts

NPI
1285827014
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
60303 (KS)
Legal business name
ADVANCED DENTAL P.A.
Practice address
21 W Wea St
Paola, KS 66071-1462
Phone
(913) 557-3333
Fax
(913) 557-9191
NPI assigned
Aug 24, 2007
Organization subpart
No

Authorized official

Name
Irwin N Boe Jr., D.D.S.,M.S
Title
Dentist
Phone
(913) 557-3333

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

21 W Wea St
Paola, KS 66071
Phone (913) 294-2222

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 60303 KS Yes

Addresses

Primary practice location

21 W Wea St
Paola, KS 66071-1462

Mailing address

21 W Wea St
Paola, KS 66071-1462
Phone (913) 557-3333

Other providers in Paola, KS

All providers in Paola, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.