# INDEPENDENCE AVENUE DENTAL LLC

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

## Provider details

- **NPI number:** 1396982468
- **Authorized official:** DR. RANDAL ADAM SILVER DMD (OWNER)
- **Authorized official phone:** (816) 461-6911

## Contact information

- **Practice address:** 1638 WEST 24 HIGHWAY, INDEPENDENCE, MO 64050
- **Practice address phone:** (816) 461-6911
- **Practice address fax:** (816) 461-3675
- **Mailing address:** 1638 WEST 24 HIGHWAY, INDEPENDENCE, MO 64050
- **Mailing address phone:** (816) 461-6911
- **Mailing address fax:** (816) 461-3675

## Taxonomy

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

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 06/11/2020