HAAKE FAMILY DENTAL LLC


Address: 4601 W 109th St, Suite 112, Overland Park, KS 66211-1318
Phone: 9133816644

HAAKE FAMILY DENTAL LLC (NPI# 1275703811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275703811
Entity Type Organization
Organization Name HAAKE FAMILY DENTAL LLC
Practice Address 4601 W 109th St
Suite 112
Overland Park
KS 66211-1318
Practice Telephone 9133816644
Practice Fax Number 9133816646
Mailing Telephone 9133816644
Mailing Fax Number 9133816646
Enumeration Date 2008-03-11
Last Update Date 2013-06-25
Authorized Official Name DR. STEPHEN M HAAKE (DENTIST)
Authorized Official Telephone 9133816644
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
60089 KS Dental Providers

Office Location

Street Address 4601 W 109TH ST
SUITE 112
City OVERLAND PARK
State KS
Zip Code 66211-1318

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487656674 David E Braverman Ophthalmology 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 2005-06-01
1164977138 Roy K Oyer Urology 4601 W 109th St, Suite 314, Overland Park, KS 66211-1318 2016-08-19
1629488952 Jahn E. Roedemeier, Dds, Pa Dentist 4601 W 109th St, Suite 320, Overland Park, KS 66211-1318 2014-05-08
1689084311 Parks Children's Dentistry Dentist 4601 W 109th St, Suite 217, Overland Park, KS 66211-1318 2014-05-02
1487078036 David Francisco Dentist 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 2014-02-18
1003230665 Joon Won Kim Dentist 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 2014-02-18
1598189144 James Randall Dentist 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 2014-02-18
1932466851 Michelle G Mchale Dentist 4601 W 109th St, Suite #212, Overland Park, KS 66211-1318 2012-04-17
1154598332 Optical Options Cibis Ltd Technician/Technologist 4601 W 109th St, 100, Overland Park, KS 66211-1318 2008-05-15
1598930745 Children's Eye Care, P.a. Ophthalmology 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 2008-04-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336611821 Baillie Rose Woydziak Social Worker 5805 W 110th Street, Overland Park, KS 66211 2018-12-20
1467920389 Ku Medwest Ambulatory Surgery Center, LLC Clinic/Center 10720 Nall Avenue, Overland Park, KS 66211 2018-11-08
1235615931 Janice Carollo Physical Therapy Assistant 11611 Granada Lane, Leawood, KS 66211 2018-07-16
1720572555 Trevor Lee Elmer Physical Therapist 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 2018-06-15
1043746555 Overland Park Surgical Suites, LLC Clinic/Center 6650 W 110th St Ste 300, Overland Park, KS 66211 2017-05-03
1619313665 Vcphcs Xiv, LLC Clinic/Center 6331 W. 110th Street, Overland Park, KS 66211 2013-05-17
1528334950 Scott Anthony Hardouin Surgery 5100 W 110th St Unit 300, Overland Park, KS 66211 2012-03-29
1386917003 Children's Physical Therapy Associates Physical Therapist 6600 College Boulevard, Suite 307, Overland Park, KS 66211 2012-02-10
1871876250 Amber Diane Dalzell Social Worker 10965 Granada Ln Ste 102, Overland Park, KS 66211 2011-09-22
1912298001 Stephen Vincent Hiatt Orthopaedic Surgery 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 2011-04-25
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073045902 Amy Linn Vermeer Dentist 4601 W 109th St Ste 250, Overland Park, KS 66211-1314 2017-03-30
1114475324 Jeffrey R Burroughs Dds LLC Dentist 5525 W 119th St Ste 215, Overland Park, KS 66209-3724 2016-09-16
1548424799 Christopher Gene Budig Dentist 13340 Metcalf Ave, Overland Park, KS 66213-2804 2008-07-16
1154484301 The Endodontic P.C. Dentist 5600 West 95th St #216, Overland Park, KS 66207 2006-12-19
1962579219 Cornerstone Endodontics Dentist 4601 W 109th Street Suite 325, Overland Park, KS 66211 2006-11-30
1487078036 David Francisco Dentist 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 2014-02-18
1003230665 Joon Won Kim Dentist 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 2014-02-18
1598189144 James Randall Dentist 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 2014-02-18
1972720613 Mark Andrew Holman Dentist 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 2007-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417476847 Hillside Endodontics LLC Dentist 215 S. Hillside, Wichita, KS 67211-2128 2017-09-18
1588185748 Anthony A Altomare Dentist 11409 Ash St Ste A, Leawood, KS 66211-1753 2017-06-28
1972913374 Julia Nguyen Dentist 7301 Mission Rd Ste 317, Prairie Village, KS 66208 2014-05-07
1568890515 Perry Endodontics LLC Dentist 215 S Hillside St, Wichita, KS 67211-2128 2013-10-29
1760703425 Adam John Retallick Dentist 333 S Seth Child Rd, Manhattan, KS 66502-3003 2010-06-17
1194049940 Topeka Endodontics Dentist 6231 Sw 29th St Ste 300, Topeka, KS 66614-4684 2010-03-23
1255526091 Professional Endodontics Dentist 7570 W 21st St N Ste 1042b, Wichita, KS 67205-1763 2007-09-13
1538374616 Daniel Richard Loftus Dentist 2501 Canterbury Dr, Hays, KS 67601-2296 2007-05-11
1649482290 Hillsboro Dental Care LLC Dentist 119 E Grand, Hillsboro, KS 67063 2007-05-04
1487871208 Donald R Mayer Dentist 215 S Hillside, Wichita, KS 67211-2128 2007-04-20
Find all providers with the same taxonomy

Competitor

Search similar providers

City OVERLAND PARK
Zip Code 66211

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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