| Tonganoxie Family Dentistry | |
|
6725 N Park Ave Gladstone MO 64118-3783 | |
| (816) 813-7917 | |
| Not Available |
| Full Name | Tonganoxie Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6725 N Park Ave, Gladstone, Missouri |
| Authorized Official Name and Position | David H Jaeger (DENTIST) |
| Authorized Official Contact | 8168137917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonganoxie Family Dentistry 766 Northstar Court Tonganoxie KS 66086 Ph: () - | Tonganoxie Family Dentistry 6725 N Park Ave Gladstone MO 64118-3783 Ph: (816) 813-7917 |
| NPI Number | 1053655274 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053655274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60803 (Kansas) | Primary |
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