Provider Demographics
NPI:1366981409
Name:TALIAFERRO, ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:TALIAFERRO
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:11201 OUTLOOK ST APT 1281
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1980
Mailing Address - Country:US
Mailing Address - Phone:785-250-8899
Mailing Address - Fax:
Practice Address - Street 1:3700 W 83RD ST STE 103
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-5120
Practice Address - Country:US
Practice Address - Phone:913-381-5194
Practice Address - Fax:913-381-5215
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2023-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS61947204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery