NPI 1174837751

Stephanie Lynn Prusa, DENTALHYGIENIST

Practitioner Dental Hygienist Kansas City, KS

Practice location

Address: 753 State Ave, Kansas City, KS 66101-2516
Phone: (913) 321-4385
Mailing address: 10814 W 101st Ter, Overland Park, KS 66214-2532

Registered specialties (2)

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 11287 (KS)

Other Dental Hygienist providers in Kansas →

Dental Hygienist

Dental Providers Taxonomy 124Q00000X Licence 2010022535 (MO)

Registry record

NPI: 1174837751
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2010
Record last updated: 5 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.