# MINT DENTAL SUMMIT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mint Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184352957
- **Authorized official:** WAYNE DOBBINS DDS (CEO)
- **Authorized official phone:** (480) 343-5072

## Contact information

- **Practice address:** 600 NW MURRAY RD STE 304, LEES SUMMIT, MO 64081-1245
- **Practice address phone:** (816) 287-5650
- **Mailing address:** 15933 W 65TH ST, SHAWNEE, KS 66217-9342

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2022
- **Last updated:** 08/10/2022