| Ashley & Gray D.d.s.'s | |
|
1520 E 23rd Str Ste Q Independence MO 64055 | |
| (816) 252-9190 | |
| (816) 252-9390 |
| Full Name | Ashley & Gray D.d.s.'s |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1520 E 23rd Str, Independence, Missouri |
| Authorized Official Name and Position | David A. Ashley (PARTNER) |
| Authorized Official Contact | 8162529190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley & Gray D.d.s.'s 1520 E 23rd Str Ste Q Independence MO 64055 Ph: (816) 252-9190 | Ashley & Gray D.d.s.'s 1520 E 23rd Str Ste Q Independence MO 64055 Ph: (816) 252-9190 |
| NPI Number | 1720526924 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720526924 | NPI | - | NPPES |
| 401201108 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13315 (Missouri) | Primary |
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