| Odessa Family Dental, Llc | |
|
404 N 4th St Odessa MO 64076-1152 | |
| (816) 633-5393 | |
| Not Available |
| Full Name | Odessa Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 404 N 4th St, Odessa, Missouri |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odessa Family Dental, Llc 404 N 4th St Odessa MO 64076-1152 Ph: (816) 633-5393 | Odessa Family Dental, Llc 404 N 4th St Odessa MO 64076-1152 Ph: (816) 633-5393 |
| NPI Number | 1013881101 |
|---|---|
| Provider Enumeration Date | 10/01/2025 |
| Last Update Date | 10/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013881101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Odessa Pediatric Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 N 4th St Ste A, Odessa, MO 64076 Phone: 816-000-0000 | |
Embrace Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 N 4th St, Odessa, MO 64076 Phone: 816-490-7330 |