Erin P Flood, DDS

Individual provider Active NPI General Practice Dentistry · Prairie Village, KS

NPI 1720064892 · NPPES record last updated Jul 31, 2020

Key facts

NPI
1720064892
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
60443 (KS)
Practice address
7301 Mission Rd Ste 203
Prairie Village, KS 66208-3031
Phone
(913) 362-7320
Fax
(913) 362-8733
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
2001013729MOMDDentist
60443KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Flood, P.a. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2001013729 MO
General Practice Dentistry 1223G0001X 60443 KS Yes

Addresses

Primary practice location

7301 Mission Rd Ste 203
Prairie Village, KS 66208-3031

Mailing address

7301 Mission Rd Ste 203
Prairie Village, KS 66208-3031
Phone (913) 362-7320

Other identifiers

IdentifierTypeStateIssuer
405356205MedicaidMO

Other names

  • Erin P Walsh Former name

Other providers in Prairie Village, KS

All providers in Prairie Village, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.