LEAVENWORTH ORAL & MAXILLOFACIAL SURGEONS PA
NPI 1609841493
Dentist - Oral and Maxillofacial Pathology in Leavenworth, KS

Active since February 23, 2006
3550 S 4TH ST, SUITE 240, LEAVENWORTH, KS 66048(913) 772-4334(913) 772-0851 Get Directions Write a Review

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

About Leavenworth Oral & Maxillofacial Surgeons Pa NPPES

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

LEAVENWORTH ORAL & MAXILLOFACIAL SURGEONS PA (NPI 1609841493) is a healthcare organization registered as an oral and maxillofacial pathology in Leavenworth, Kansas and active in the NPI registry since February 2006. The organization lists Larry D Evans, President, as its authorized official.

NPPES Registry Identity

NPI1609841493
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameLEAVENWORTH ORAL & MAXILLOFACIAL SURGEONS PA
Location Address3550 S 4TH ST, SUITE 240Leavenworth, KS 66048-5071
Mailing Address3550 S 4th St, Suite 240Leavenworth, KS 66048-5071 · (913) 772-4334 · Fax (913) 772-0851
Fax(913) 772-0851
Organization SubpartNo
Authorized OfficialLarry D EvansPresident · (913) 772-4334
Enumeration DateFebruary 23, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1609841493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in KS · 4672
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
3550 S 4TH ST, Leavenworth, KS 66048

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 15

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

Nurse Practitioner (Gerontology)
3550 S 4TH ST
LEAVENWORTH, KS 66048
Clinic/Center (Ambulatory Surgical)
3550 S 4TH ST, SUITE G1
LEAVENWORTH, KS 66048
Dentist (Oral and Maxillofacial Surgery)
3550 S 4TH ST, SUITE 240
LEAVENWORTH, KS 66048
Dentist (Oral and Maxillofacial Surgery)
3550 S 4TH ST, SUITE 240
LEAVENWORTH, KS 66048
Obstetrics & Gynecology (Gynecology)
3550 S 4TH ST, SUITE 282
LEAVENWORTH, KS 66048
Nurse Practitioner (Family)
3550 S 4TH ST
LEAVENWORTH, KS 66048
Dentist (Oral and Maxillofacial Pathology)
3550 S 4TH ST, SUITE 240
LEAVENWORTH, KS 66048
Pediatrics
3550 S 4TH ST, SUITE 110
LEAVENWORTH, KS 66048

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 Leavenworth Oral & Maxillofacial Surgeons PA's NPI number?

The NPI number for Leavenworth Oral & Maxillofacial Surgeons PA is 1609841493. It was assigned to this organization in the NPPES registry on February 23, 2006.

Where is Leavenworth Oral & Maxillofacial Surgeons PA located?

Leavenworth Oral & Maxillofacial Surgeons PA is located at 3550 S 4th St Suite 240, Leavenworth, KS 66048. The listed phone number is (913) 772-4334.

What is Leavenworth Oral & Maxillofacial Surgeons PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Leavenworth Oral & Maxillofacial Surgeons 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.