MEDICARE: DENTAL CARE OLATHE

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	60583	KS

General Provider Information

NPI Number	:	1891231650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL CARE OLATHE

Provider Business Mailing Address
First Line	:	1709 S MUR LEN RD
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-2611
Country	:	US
Telephone Number	:	913-353-8685
Fax Number	:

Provider Business Practice Location Address
First Line	:	1709 S MUR LEN RD
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-2611
Country	:	US
Telephone Number	:	913-353-8685
Fax Number	:

Authorized Official
Title or Position	:	LEAD DENTIST
Name	:	DR. NAVKIRAN KAUR WARYA
Credential	:	DDS
Telephone Number	:	913-952-1978

Provider Enumeration Date	:	01/17/2017
Last Update Date	:	01/19/2017

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