Laura Altomare, DDS

Individual provider Active NPI General Practice Dentistry · Overland Park, KS

NPI 1659932952 · NPPES record last updated Jun 26, 2019

Key facts

NPI
1659932952
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
61586 (KS)
Practice address
4601 W 109TH St Ste 222
Overland Park, KS 66211-1314
Phone
(913) 381-6644
Fax
(913) 381-6646
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
61586KSMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61586 KS Yes

Addresses

Primary practice location

4601 W 109TH St Ste 222
Overland Park, KS 66211-1314

Mailing address

4601 W 109TH St Ste 222
Overland Park, KS 66211-1314
Phone (913) 381-6644

Other providers in Overland Park, KS

All providers in Overland Park, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.