Healthcare Provider Details

I. General information

NPI: 1740107952
Provider Name (Legal Business Name): LD GROUP SOUTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4861 W 134TH ST STE A
LEAWOOD KS
66209-7826
US

IV. Provider business mailing address

11551 GRANADA ST STE 200
LEAWOOD KS
66211-1444
US

V. Phone/Fax

Practice location:
  • Phone: 913-341-0018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LUKE JOLIFF
Title or Position: CEO/OWNER
Credential: DDS
Phone: 785-230-4795