| Pediatric Dental Specialists, Pa | |
|
3355 Ne Ralph Powell Road Lee's Summit MO 64064 | |
| (816) 525-5447 | |
| Not Available |
| Full Name | Pediatric Dental Specialists, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3355 Ne Ralph Powell Road, Lee's Summit, Missouri |
| Authorized Official Name and Position | Donna K. Thomas (OWNER) |
| Authorized Official Contact | 8165255447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialists, Pa 3355 Ne Ralph Powell Road Lee's Summit MO 64064 Ph: (816) 525-5447 | Pediatric Dental Specialists, Pa 3355 Ne Ralph Powell Road Lee's Summit MO 64064 Ph: (816) 525-5447 |
| NPI Number | 1811011018 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811011018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 015672 (Missouri) | Primary |