Healthcare Provider Details

I. General information

NPI: 1386672939
Provider Name (Legal Business Name): JON M. FINLEY, D.D.S., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 W 90TH TER
PRAIRIE VILLAGE KS
66207-2308
US

IV. Provider business mailing address

4650 W 90TH TER
PRAIRIE VILLAGE KS
66207-2308
US

V. Phone/Fax

Practice location:
  • Phone: 913-642-0000
  • Fax: 913-642-0051
Mailing address:
  • Phone: 913-642-0000
  • Fax: 913-642-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number6232
License Number StateKS

VIII. Authorized Official

Name: DR. JON M. FINLEY
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 913-642-0000