HUMMELGARD DDS LLC NPI 1356058507

NPI Information

NPI: 1356058507
Provider Name: HUMMELGARD DDS LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
103 S 36TH ST
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 364-1186
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HUMMELGARD DDS LLC is a dental clinic center in Saint Joseph, MO. HUMMELGARD DDS LLC NPI is 1356058507. The provider is registered as an organization entity type.

The provider's business location address is:

103 S 36TH ST
SAINT JOSEPH, MO
ZIP 64506-920
Phone: (816) 364-1186

The provider's authorized official is Justin Hummelgard .
The authorized official title is Dentist and has the following contact phone number (952) 913-8225.

The enumeration date for this NPI number is 10/27/2022 and was last updated on 10/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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