Provider Demographics
NPI:1356693063
Name:LOVE TO SMILE, DDS PA
Entity type:Organization
Organization Name:LOVE TO SMILE, DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:RAJENDRA
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-491-1200
Mailing Address - Street 1:10925 ANTIOCH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2119
Mailing Address - Country:US
Mailing Address - Phone:913-491-1200
Mailing Address - Fax:913-491-1205
Practice Address - Street 1:10925 ANTIOCH RD STE 201
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2119
Practice Address - Country:US
Practice Address - Phone:913-491-1200
Practice Address - Fax:913-491-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS608061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty