| Raytown Dental Pllc | |
|
10208 E State Route 350 Raytown MO 64138-1805 | |
| (816) 356-2476 | |
| Not Available |
| Full Name | Raytown Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 10208 E State Route 350, Raytown, Missouri |
| Authorized Official Name and Position | Creed Cardon (OWNER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raytown Dental Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Raytown Dental Pllc 10208 E State Route 350 Raytown MO 64138-1805 Ph: (816) 356-2476 |
| NPI Number | 1205416047 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205416047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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