| Logan H. Childers Jr. D.d.s. And Associates | |
|
12600 E Us Highway 40 Independence MO 64055-5955 | |
| (816) 478-4202 | |
| Not Available |
| Full Name | Logan H. Childers Jr. D.d.s. And Associates |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12600 E Us Highway 40, Independence, Missouri |
| Authorized Official Name and Position | Logan H Childers (OWNER) |
| Authorized Official Contact | 8164784202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan H. Childers Jr. D.d.s. And Associates 12600 E Us Highway 40 Independence MO 64055-5955 Ph: (816) 478-4202 | Logan H. Childers Jr. D.d.s. And Associates 12600 E Us Highway 40 Independence MO 64055-5955 Ph: (816) 478-4202 |
| NPI Number | 1164645438 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164645438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 011990 (Missouri) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 010648 (Missouri) | Primary |
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