| Augustine Dental LLC | |
|
103 Ne Douglas St Lees Summit MO 64063-2037 | |
| (816) 524-1337 | |
| Not Available |
| Full Name | Augustine Dental LLC |
|---|---|
| Speciality | Dentist |
| Location | 103 Ne Douglas St, Lees Summit, Missouri |
| Authorized Official Name and Position | Ashli Gill (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7857662363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augustine Dental LLC 103 Ne Douglas St Lees Summit MO 64063-2037 Ph: (816) 524-1337 | Augustine Dental LLC 103 Ne Douglas St Lees Summit MO 64063-2037 Ph: (816) 524-1337 |
| NPI Number | 1689538464 |
|---|---|
| Provider Enumeration Date | 12/15/2025 |
| Last Update Date | 12/15/2025 |
| Certification Date | 12/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689538464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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