| Summit Pediatric Dentistry | |
|
24 Nw Chipman Rd Ste B Lees Summit MO 64063-1929 | |
| (816) 256-0073 | |
| Not Available |
| Full Name | Summit Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 24 Nw Chipman Rd Ste B, Lees Summit, Missouri |
| Authorized Official Name and Position | Moncy Mathew (OWNER/DENTIST) |
| Authorized Official Contact | 8162560073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Pediatric Dentistry 24 Nw Chipman Rd Ste B Lees Summit MO 64063-1929 Ph: (816) 256-0073 | Summit Pediatric Dentistry 24 Nw Chipman Rd Ste B Lees Summit MO 64063-1929 Ph: (816) 256-0073 |
| NPI Number | 1053848374 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053848374 | NPI | - | NPPES |
| 1841474293 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2006037222 (Missouri) | Primary |
Jamie L. Thurman-taylor, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3568 Sw Market St, Lees Summit, MO 64082 Phone: 816-537-6161 | |
Phillip Montoya, Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4951 Ne Goodview Cir Ste C, Lees Summit, MO 64064 Phone: 816-373-5574 | |
Jon K. Mcclay Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Sw 3rd St, Lees Summit, MO 64063 Phone: 816-524-3734 Fax: 816-524-9211 | |
Sweet Tooth Summit Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Se 291 Hwy, Lees Summit, MO 64063 Phone: 913-276-3809 | |
Missouri Dental Professionals, Richard Straus, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 Sw Market St, Lees Summit, MO 64082 Phone: 816-623-3565 Fax: 816-623-3476 | |
Erin Neill Bromley, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 Se Bayberry Ln, Suite 105, Lees Summit, MO 64063 Phone: 816-525-5257 |