# JOHN W HUDDART DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lathrop Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508148545
- **Authorized official:** JOHN W HUDDART DDS (OWNER)
- **Authorized official phone:** (816) 740-4294

## Contact information

- **Practice address:** 611 OAK ST, LATHROP, MO 64465-9737
- **Practice address phone:** (816) 740-4294
- **Practice address fax:** (816) 528-4295
- **Mailing address:** 611 OAK ST, P.O. BOX 79, LATHROP, MO 64465-9737
- **Mailing address phone:** (816) 740-4294
- **Mailing address fax:** (816) 528-4295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2001014206 | MO | Yes |

## Other

- **Enumeration date:** 09/15/2011
- **Last updated:** 09/15/2011