| 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 | () | Primary |
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