Perfect Smiles Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

KS6672 Issued in KS

Legal business name

PERFECT SMILES DENTAL CARE

Practice address

8650 Candlelight Lane
Suite One
Lenexa, KS 66215

Phone

(913) 631-2677

Fax

(913) 631-3534

NPI assigned

Jan 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelly D Bridenstine, DDS

Title

President Owner

Phone

(913) 631-2677

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelly D Bridenstein, DDS

  • General Practice Dentistry
  • Lenexa, KS
  • NPI 1528245487
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720058993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 ALLMAN RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66219",
            "telephone_number": "913-631-2677",
            "fax_number": "913-631-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 CANDLELIGHT LANE",
            "address_2": "SUITE ONE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-631-2677",
            "fax_number": "913-631-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SMILES DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIDENSTINE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "913-631-2677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "KS6672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gage Pemberton
• Barbara Ann Penn, MA, MT-BC
• Andrea Lynn Percy, MS CCC-SLP
• Lizeth Soledad Perez Ortiz, SA-C CSA CSA CST
• Gabriella Perez-Barr, PA-C
• Edward John Perkins Jr., D.D.S.
• Nyah Perkins
• Mary E Peterson, PT
• Terrie L Peterson
• Regan Danielle Pettijohn, PHARM.D.

• Dentist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.