| Premier Dental L.L.C. | |
|
1648 Se Blue Parkway Lee's Summit MO 64063 | |
| (816) 517-6500 | |
| Not Available |
| Full Name | Premier Dental L.L.C. |
|---|---|
| Speciality | Dentist |
| Location | 1648 Se Blue Parkway, Lee's Summit, Missouri |
| Authorized Official Name and Position | Stephan Denis Caye (DENTIST) |
| Authorized Official Contact | 8165176500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental L.L.C. 1648 Se Blue Parkway Lee's Summit MO 64063 Ph: (816) 517-6500 | Premier Dental L.L.C. 1648 Se Blue Parkway Lee's Summit MO 64063 Ph: (816) 517-6500 |
| NPI Number | 1265985428 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 07/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265985428 | NPI | - | NPPES |
| 1760896831 | Other | MO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2014018886 (Missouri) | Primary |
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