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General NPI Number Information
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NPI Number | 1831054204
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Entity Type | Organization
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Legal Business Name | SAFDER OLATHE ENDODONTICS, LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 20168 W 153RD ST
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City | OLATHE
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State | KS
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Zip | 66062-9131
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Country | US
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Telephone | 913-396-7625
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Fax |
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Provider Business Mailing Address
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Address Line | 20168 W 153RD ST
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City | OLATHE
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State | KS
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Zip | 66062-9131
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | MANSOOR SAFDER
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Credential | DDS, MSD
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Telephone | 913-206-2758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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