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Organization
SUMMIT ORAL SURGERY CENTER LLC
Active
Organization
SUMMIT ORAL SURGERY CENTER LLC
Active
Other names
Independence Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE DDS (CENTER ADMIN; BOARD OF MANAGERS)
(816) 271-0110
Entity
Organization
Contact information
Practice address
19921 E JACKSON DR, INDEPENDENCE, MO 64057-1596
(913) 735-3826
Mailing address
19921 E JACKSON DR, INDEPENDENCE, MO 64057-1596
(816) 271-0110
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
08/11/2026
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