| Healthy Smiles, LLC | |
|
16641 E 23rd St S Independence MO 64055-1922 | |
| (816) 833-2700 | |
| (816) 836-3480 |
| Full Name | Healthy Smiles, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16641 E 23rd St S, Independence, Missouri |
| Authorized Official Name and Position | Jeffrey Kevin Ma (PRESIDENT, MANAGER) |
| Authorized Official Contact | 8163929869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles, LLC 16641 E 23rd St S Independence MO 64055-1922 Ph: (816) 833-2700 | Healthy Smiles, LLC 16641 E 23rd St S Independence MO 64055-1922 Ph: (816) 833-2700 |
| NPI Number | 1144561325 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144561325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2005015641 (Missouri) | Primary |
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