# ORAL SURGERY AND IMPLANT INSTITUTE KANSAS CITY

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

## Provider details

- **NPI number:** 1457034449
- **Authorized official:** TATE ANDREWS (CFO)
- **Authorized official phone:** (816) 388-0985

## Contact information

- **Practice address:** 638 W 39TH ST, KANSAS CITY, MO 64111-2910
- **Practice address phone:** (816) 388-0985
- **Mailing address:** 638 W 39TH ST, KANSAS CITY, MO 64111-2910
- **Mailing address phone:** (816) 388-0985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2023
- **Last updated:** 08/08/2023