| Amazing Smiles Of Kansas City, Llc | |
|
8915 State Ave Kansas City KS 66112-1645 | |
| (913) 788-7600 | |
| (913) 788-7601 |
| Full Name | Amazing Smiles Of Kansas City, Llc |
|---|---|
| Speciality | Dentist |
| Location | 8915 State Ave, Kansas City, Kansas |
| Authorized Official Name and Position | Kelly Mccracken (DENTIST/OWNER) |
| Authorized Official Contact | 9137887600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Smiles Of Kansas City, Llc 8915 State Ave Kansas City KS 66112-1645 Ph: (913) 788-7600 | Amazing Smiles Of Kansas City, Llc 8915 State Ave Kansas City KS 66112-1645 Ph: (913) 788-7600 |
| NPI Number | 1194072421 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 08/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194072421 | NPI | - | NPPES |
| 1780945279 | Other | KS | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60811 (Kansas) | Primary |
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