| Larry D Pribyl Dds Pc | |
|
4701 Logan Ave Kansas City MO 64136-1161 | |
| (816) 350-1007 | |
| (816) 350-1975 |
| Full Name | Larry D Pribyl Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4701 Logan Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Larry Dean Pribyl (PRESIDENT) |
| Authorized Official Contact | 8163501007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D Pribyl Dds Pc 4701 Logan Ave Kansas City MO 64136-1161 Ph: (816) 350-1007 | Larry D Pribyl Dds Pc 4701 Logan Ave Kansas City MO 64136-1161 Ph: (816) 350-1007 |
| NPI Number | 1679650295 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679650295 | NPI | - | NPPES |
| 36641012 | Other | MO | BLUE CROSS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14116 (Missouri) | Primary |
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