MEDICARE: DR. PAUL MARTIN BARABAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6279	KS

General Provider Information

NPI Number	:	1326183187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL MARTIN BARABAN D.D.S.

Provider Business Mailing Address
First Line	:	14301 DEARBORN ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66223-2680
Country	:	US
Telephone Number	:	913-681-0240
Fax Number	:

Provider Business Practice Location Address
First Line	:	6351 W 110TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1509
Country	:	US
Telephone Number	:	913-451-8300
Fax Number	:	913-451-8305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

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