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Organization
JAMES L. MCCREARY DDS
Active
Organization
JAMES L. MCCREARY DDS
Active
Other names
Citadel Dental Group KC MO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LARRY MCCREARY DDS (DENTIST-OWNER OF PRACTICE)
(816) 523-4444
Entity
Organization
Contact information
Practice address
1734 E 63RD STREET, SUITE #401, KANSAS CITY, MO 64110
(816) 523-4444
(816) 523-2689
Mailing address
1734 E 63RD STREET, SUITE #401, KANSAS CITY, MO 64110
(816) 523-4444
(816) 523-2689
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
11801
MO
126800000X
Dental Assistant
2006023201
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000548
—
MO
Enumeration date
01/13/2012
Last updated
01/13/2012
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