| Custom Dental Of Harrisonville, Pllc | |
|
2100 N 291 Hwy Harrisonville MO 64701-1226 | |
| (405) 282-6440 | |
| (405) 282-6785 |
| Full Name | Custom Dental Of Harrisonville, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2100 N 291 Hwy, Harrisonville, Missouri |
| Authorized Official Name and Position | Chad Wassink (DENTIST) |
| Authorized Official Contact | 4052826440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Dental Of Harrisonville, Pllc 2100 N 291 Hwy Harrisonville MO 64701-1226 Ph: (405) 282-6440 | Custom Dental Of Harrisonville, Pllc 2100 N 291 Hwy Harrisonville MO 64701-1226 Ph: (405) 282-6440 |
| NPI Number | 1215231360 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215231360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6123 (Oklahoma) | Primary |
Shera A Sims D.d.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Locust St, Harrisonville, MO 64701 Phone: 816-380-2222 Fax: 816-380-2969 | |
Breakthrough Dental Partners Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Mechanic St, Harrisonville, MO 64701 Phone: 816-887-2008 Fax: 816-817-0046 | |
Fountainview Dental Harrisonville Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Mechanic St, Harrisonville, MO 64701 Phone: 816-887-2008 |