Provider Demographics
NPI:1144949363
Name:HONEY BEE PDC LENEXA LLC
Entity type:Organization
Organization Name:HONEY BEE PDC LENEXA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:FERNS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-882-2209
Mailing Address - Street 1:10058 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-3802
Mailing Address - Country:US
Mailing Address - Phone:314-882-2209
Mailing Address - Fax:
Practice Address - Street 1:10058 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66220-3802
Practice Address - Country:US
Practice Address - Phone:314-882-2209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HONEY BEE PEDIATRIC DENTAL CO LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty