MEDICARE: ALBERT DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	344600000X	Taxi	60191	KS

General Provider Information

NPI Number	:	1235671496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT DENTAL

Provider Business Mailing Address
First Line	:	11504 W 135TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66221-2892
Country	:	US
Telephone Number	:	913-948-9488
Fax Number	:	913-948-9499

Provider Business Practice Location Address
First Line	:	11504 W 135TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66221-2892
Country	:	US
Telephone Number	:	913-948-9488
Fax Number	:	913-948-9499

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. ALBERT NATANOV
Credential	:	DDS
Telephone Number	:	913-948-9488

Provider Enumeration Date	:	11/04/2016
Last Update Date	:	11/04/2016

Similar Medicare Providers

1457330177 — DR. ALBERT NATANOV DDS
Practice Location Address:

11532 W 135TH ST
OVERLAND PARK, KS
66221-2892

Practice Phone: 913-948-9488
Practice Fax: 913-948-9499

1609827971 — DR. MAX STEVEN MANCILLAS O.D.
Practice Location Address:

11548 W 135TH ST
OVERLAND PARK, KS
66221-2892

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Practice Fax: 913-814-3906

1164630265 — BRIAN T. BOERNER PT
Practice Location Address:

11504 W 135TH ST
OVERLAND PARK, KS
66221-2892

Practice Phone: 913-681-9909
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1548531072 — KERRY BROOKE CLEMETSON
Practice Location Address:

11504 W 135TH ST
OVERLAND PARK, KS
66221-2892

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Practice Fax: 913-681-9906

1770452674 — ALBERT DENTAL OF OLATHE
Practice Location Address:

11504 W 135TH ST
OVERLAND PARK, KS
66221-2892

Practice Phone: 913-948-9488
Practice Fax: 913-948-9499

1568448140 — DR. DARLENE KRISTINE MATEJKA MCMORRIS O.D.
Practice Location Address:

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Directions to “ALBERT DENTAL ” Practice Location

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