| North Independence Dental Llc | |
|
1134 S Noland Rd Independence MO 64050-4560 | |
| (662) 801-0563 | |
| Not Available |
| Full Name | North Independence Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1134 S Noland Rd, Independence, Missouri |
| Authorized Official Name and Position | Antjuan Hampton (DENTIST) |
| Authorized Official Contact | 6628010563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Independence Dental Llc 1134 S Noland Rd Independence MO 64050-4560 Ph: (662) 801-0563 | North Independence Dental Llc 1134 S Noland Rd Independence MO 64050-4560 Ph: (662) 801-0563 |
| NPI Number | 1104516608 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104516608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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