# SWEET TOOTH GRANDVIEW ORTHODONTICS

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

## Provider details

- **NPI number:** 1780490185
- **Authorized official:** WAYNE DOBBINS DDS (OWNER)
- **Authorized official phone:** (913) 276-3809

## Contact information

- **Practice address:** 11908 BLUE RIDGE EXT, GRANDVIEW, MO 64030-1160
- **Practice address phone:** (816) 355-8068
- **Practice address fax:** (816) 205-6867
- **Mailing address:** 6600 COLLEGE BLVD STE 125, OVERLAND PARK, KS 66211-1522

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 12/10/2024
