# TWIN CREEKS FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1184235517
- **Authorized official:** DR. MATTHEW THOMAS GARRISON DDS (MANAGING PARTNER)
- **Authorized official phone:** (816) 868-6269

## Contact information

- **Practice address:** 10560 N AMBASSADOR DR STE 200, KANSAS CITY, MO 64153-1591
- **Practice address phone:** (816) 891-8091
- **Practice address fax:** (816) 891-9343
- **Mailing address:** 10560 N AMBASSADOR DR STE 200, KANSAS CITY, MO 64153-1591
- **Mailing address phone:** (816) 891-8091
- **Mailing address fax:** (816) 891-9343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2020
- **Last updated:** 08/10/2020