| Shoal Creek Dental Care Llc | |
|
8568 Church Rd Kansas City MO 64157-1202 | |
| (816) 792-0801 | |
| Not Available |
| Full Name | Shoal Creek Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8568 Church Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoal Creek Dental Care Llc 15660 Dallas Pkwy Dallas TX 75248-3348 Ph: () - | Shoal Creek Dental Care Llc 8568 Church Rd Kansas City MO 64157-1202 Ph: (816) 792-0801 |
| NPI Number | 1548011489 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548011489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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