JOHNSON COUNTY PERIODONTICS DENTAL IMPLANTS & LASER SURGERY
NPI 1013904564
Dentist - Periodontics in Overland Park, KS

Active since September 30, 2005
4601 W. 109TH ST., SUITE 212, OVERLAND PARK, KS 66211(913) 491-5548(913) 491-0793 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johnson County Periodontics Dental Implants & Laser Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNSON COUNTY PERIODONTICS DENTAL IMPLANTS & LASER SURGERY (NPI 1013904564) is a healthcare organization registered as a periodontics in Overland Park, Kansas and active in the NPI registry since September 2005. The organization lists Lara L Tull Ryan, Owner, as its authorized official.

NPPES Registry Identity

NPI1013904564
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameLARA L TULL RYAN DDS MS PA
Location Address4601 W. 109TH ST., SUITE 212Overland Park, KS 66211
Mailing Address4601 W 109th St, Suite 212Overland Park, KS 66211 · (913) 491-5548 · Fax (913) 491-0793
Fax(913) 491-0793
Organization SubpartNo
Authorized OfficialLara L Tull RyanOwner · (913) 491-5548
Enumeration DateSeptember 30, 2005
Last NPPES UpdateApril 27, 2016
NPI 1013904564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in KS · 60284
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4601 W. 109TH ST., Overland Park, KS 66211

Other Names 1

Doing Business AsJohnson County Periodontics Dental Implants & Laser Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara L Tull Ryan Dds Ms PA's NPI number?

The NPI number for Lara L Tull Ryan Dds Ms PA is 1013904564. It was assigned to this organization in the NPPES registry on September 30, 2005. The provider is doing business as Johnson County Periodontics Dental Implants & Laser Surgery.

Where is Lara L Tull Ryan Dds Ms PA located?

Lara L Tull Ryan Dds Ms PA is located at 4601 W. 109th St. Suite 212, Overland Park, KS 66211. The listed phone number is (913) 491-5548.

What is Lara L Tull Ryan Dds Ms PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Lara L Tull Ryan Dds Ms PA was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.