IndividualActive
Dennis Sourvanos, DDS
NPI 1801358676 · Periodontics · Kansas City, MO
Provider details
- NPI number
- 1801358676
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS042481 (PA)
Specialties & taxonomies
Dental Providers
Practice location
9018 N Skyview Ave
Kansas City, MO 64154-8501
Phone: (816) 741-5113
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Eastern Blvd
York, PA 17402-2818
Registry dates
- Enumerated
- 2019-04-02
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.