Healthcare Provider Details

I. General information

NPI: 1851224695
Provider Name (Legal Business Name): ADITI INDURKAR BDS, MPH, DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY MO
64130-2807
US

IV. Provider business mailing address

6233 W 155TH TER
OVERLAND PARK KS
66223-3596
US

V. Phone/Fax

Practice location:
  • Phone: 816-923-5800
  • Fax:
Mailing address:
  • Phone: 913-687-4012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2026024255
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: