# PEDIATRIC DENTAL SPECIALISTS, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811011018
- **Authorized official:** DR. DONNA K. THOMAS D.D.S. (OWNER)
- **Authorized official phone:** (816) 525-5447

## Contact information

- **Practice address:** 3355 NE RALPH POWELL ROAD, LEE'S SUMMIT, MO 64064
- **Practice address phone:** (816) 525-5447
- **Mailing address:** 3355 NE RALPH POWELL ROAD, LEE'S SUMMIT, MO 64064
- **Mailing address phone:** (816) 525-5447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 015672 | MO | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 03/10/2008