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Periodontal Care Lee's Summit, LLC

NPI 1265385470ActiveOrganization· Dentist, Periodontics· Lees Summit, MO

Dentist, Periodontics in Lees Summit, Missouri, registered in NPPES in February 2026. The authorized official on file is Ashley Johnson, Director Of Operations.

Overview

NPI1265385470
StatusActive
Entity typeOrganization
NPI issuedFeb 17, 2026
Last updated in NPPESFeb 17, 2026
Certified by providerFeb 17, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other periodontists in Lees Summit

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