# EMERGENCY DENTAL OF KANSAS CITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124538608
- **Authorized official:** RIKKI LIEBERTH (OFFICE MANAGER)
- **Authorized official phone:** (402) 932-9413

## Contact information

- **Practice address:** 3700 W 83RD ST STE 111, PRAIRIE VILLAGE, KS 66208-5120
- **Practice address phone:** (785) 989-4911
- **Mailing address:** 3700 W 83RD ST STE 111, PRAIRIE VILLAGE, KS 66208-5120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 61316 | KS | Yes |

## Other

- **Enumeration date:** 10/10/2017
- **Last updated:** 01/03/2018