Provider Demographics
NPI:1245847425
Name:GARNETT FAMILY DENTAL, L.L.C.
Entity type:Organization
Organization Name:GARNETT FAMILY DENTAL, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOPPER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-451-2929
Mailing Address - Street 1:11313 ASH ST
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1643
Mailing Address - Country:US
Mailing Address - Phone:913-908-8990
Mailing Address - Fax:913-451-2959
Practice Address - Street 1:240 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:GARNETT
Practice Address - State:KS
Practice Address - Zip Code:66032-1316
Practice Address - Country:US
Practice Address - Phone:785-448-2487
Practice Address - Fax:785-448-6863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental