# TOOTH TOWN LLC

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

## Provider details

- **NPI number:** 1386458636
- **Authorized official:** DR. ONAEDO ACHEBE (MEMBER)
- **Authorized official phone:** (646) 740-9607

## Contact information

- **Practice address:** 1338 N BELT HWY, SAINT JOSEPH, MO 64506-2537
- **Practice address phone:** (646) 740-9607
- **Mailing address:** 1803 WYANDOTTE ST APT 205, KANSAS CITY, MO 64108-2553
- **Mailing address phone:** (646) 740-9607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 05/02/2025