| Etheridge Complete Dentistry Llc | |
| 818 Nw Park Ln Lees Summit MO 64063-1880 | |
| (816) 525-1655 | |
| (816) 524-7800 | 
| Full Name | Etheridge Complete Dentistry Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 818 Nw Park Ln, Lees Summit, Missouri | 
| Authorized Official Name and Position | Dana Christian (OFFICE MANAGER) | 
| Authorized Official Contact | 8165251655 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Etheridge Complete Dentistry Llc 818 Nw Park Ln Lees Summit MO 64063-1880 Ph: (816) 525-1655 | Etheridge Complete Dentistry Llc 818 Nw Park Ln Lees Summit MO 64063-1880 Ph: (816) 525-1655 | 
| NPI Number | 1902378722 | 
|---|---|
| Provider Enumeration Date | 12/18/2018 | 
| Last Update Date | 12/18/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902378722 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
| Jamie L. Thurman-taylor, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3568 Sw Market St, Lees Summit, MO 64082 Phone: 816-537-6161 | |
| Summit Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Nw Chipman Rd Ste B, Lees Summit, MO 64063 Phone: 816-256-0073 | |
| Phillip Montoya, Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4951 Ne Goodview Cir Ste C, Lees Summit, MO 64064 Phone: 816-373-5574 | |
| Jon K. Mcclay Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Sw 3rd St, Lees Summit, MO 64063 Phone: 816-524-3734 Fax: 816-524-9211 | |
| Sweet Tooth Summit Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Se 291 Hwy, Lees Summit, MO 64063 Phone: 913-276-3809 | |
| Missouri Dental Professionals, Richard Straus, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 Sw Market St, Lees Summit, MO 64082 Phone: 816-623-3565 Fax: 816-623-3476 | |
| Erin Neill Bromley, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 Se Bayberry Ln, Suite 105, Lees Summit, MO 64063 Phone: 816-525-5257 |