Healthcare Provider Details

I. General information

NPI: 1093649600
Provider Name (Legal Business Name): GUANGXIN ZOU DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 S MUR LEN RD
OLATHE KS
66062-2611
US

IV. Provider business mailing address

9915 W 101ST ST
OVERLAND PARK KS
66212-5402
US

V. Phone/Fax

Practice location:
  • Phone: 913-372-2834
  • Fax:
Mailing address:
  • Phone: 646-641-4310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number62373
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: