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PERIODONTIST PA
NPI 1104948959
Dentist - Periodontics in Overland Park, KS

Active since April 04, 2007
10870 BENSON ST, BLDG. 21 SUITE 2100, OVERLAND PARK, KS 66210(913) 451-6158(913) 451-9463 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periodontist Pa NPPES

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

PERIODONTIST PA (NPI 1104948959) is a healthcare organization registered as a periodontics in Overland Park, Kansas and active in the NPI registry since April 2007. The organization lists Stanley L Wint, President, as its authorized official.

NPPES Registry Identity

NPI1104948959
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTIST PA
Location Address10870 BENSON ST, BLDG. 21 SUITE 2100Overland Park, KS 66210-1502
Mailing Address10870 Benson St, Bldg. 21 Suite 2100Overland Park, KS 66210-1502 · (913) 451-6158 · Fax (913) 451-9463
Phone(913) 451-6158
Fax(913) 451-9463
Organization SubpartNo
Authorized OfficialStanley L WintPresident · (913) 451-6158
Enumeration DateApril 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104948959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in KS · 5544
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.
10870 BENSON ST, Overland Park, KS 66210
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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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEERTHANA M SATHEESH DDS
Dentist (Periodontics)
10870 BENSON ST, BLDG. 21 SUITE 2100
OVERLAND PARK, KS 66210
Johnson County (913) 451-6158
DR. STANLEY L WINT DDS
Dentist (Periodontics)
10870 BENSON ST, BLDG. 21 SUITE 2100
OVERLAND PARK, KS 66210
Johnson County (913) 451-6158

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 Periodontist PA's NPI number?

The NPI number for Periodontist PA is 1104948959. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Periodontist PA located?

Periodontist PA is located at 10870 Benson St Bldg. 21 Suite 2100, Overland Park, KS 66210. The listed phone number is (913) 451-6158.

What is Periodontist 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 Periodontist PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.