| Summit Modern Dentistry | |
|
940 Nw Blue Parkway Suite A Lee's Summit MO 64086 | |
| (816) 524-5752 | |
| (816) 524-5743 |
| Full Name | Summit Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 940 Nw Blue Parkway, Lee's Summit, Missouri |
| Authorized Official Name and Position | Alex R Sharifian (OWNER) |
| Authorized Official Contact | 8165245752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Modern Dentistry 17000 Red Hill Avenue Irvine CA 92614 Ph: (714) 845-8890 | Summit Modern Dentistry 940 Nw Blue Parkway Suite A Lee's Summit MO 64086 Ph: (816) 524-5752 |
| NPI Number | 1215358429 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215358429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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