| Tooth Town LLC | |
|
1338 N Belt Hwy Saint Joseph MO 64506-2537 | |
| (646) 740-9607 | |
| Not Available |
| Full Name | Tooth Town LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1338 N Belt Hwy, Saint Joseph, Missouri |
| Authorized Official Name and Position | Onaedo Achebe (MEMBER) |
| Authorized Official Contact | 6467409607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Town LLC 1803 Wyandotte St Apt 205 Kansas City MO 64108-2553 Ph: (646) 740-9607 | Tooth Town LLC 1338 N Belt Hwy Saint Joseph MO 64506-2537 Ph: (646) 740-9607 |
| NPI Number | 1386458636 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386458636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Secondary |
| 261QD0000X | Clinic/center - Dental | () | Primary |
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