Healthcare Provider Details

I. General information

NPI: 1952936437
Provider Name (Legal Business Name): EDWARD M. AMET DDS, MS. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2020
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10801 W 87TH ST
OVERLAND PARK KS
66214-1657
US

IV. Provider business mailing address

10801 W 87TH ST
OVERLAND PARK KS
66214-1657
US

V. Phone/Fax

Practice location:
  • Phone: 913-492-2233
  • Fax: 913-492-2234
Mailing address:
  • Phone: 913-492-2233
  • Fax: 913-492-2234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: EDNA P JOHNSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 913-492-2233