Healthcare Provider Details

I. General information

NPI: 1518893908
Provider Name (Legal Business Name): PARKER WILLIAM FANCHER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16103 W 135TH ST
OLATHE KS
66062-1516
US

IV. Provider business mailing address

7201 W 80TH ST APT 437
OVERLAND PARK KS
66204-3767
US

V. Phone/Fax

Practice location:
  • Phone: 913-829-9222
  • Fax:
Mailing address:
  • Phone: 573-999-9332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: