PEDIATRIC DENTAL SPECIALISTS PA NPI 1811011018

NPI Information

NPI: 1811011018
Provider Name: PEDIATRIC DENTAL SPECIALISTS, PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3355 NE RALPH POWELL ROAD
LEE'S SUMMIT, MO
ZIP 64064
Phone: (816) 525-5447
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PEDIATRIC DENTAL SPECIALISTS, PA is a dental clinic center in Lee's Summit, MO. PEDIATRIC DENTAL SPECIALISTS, PA NPI is 1811011018. The provider is registered as an organization entity type.

The provider's business location address is:

3355 NE RALPH POWELL ROAD
LEE'S SUMMIT, MO
ZIP 64064
Phone: (816) 525-5447

The provider's authorized official is Donna K. Thomas .
The authorized official title is Owner and has the following contact phone number (816) 525-5447.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 3/10/2008.

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	015672	MISSOURI	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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