# UB DENTAL, LLC

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

## Provider details

- **NPI number:** 1851158356
- **Authorized official:** DR. TIFFANI ANNE UBERROTH DDS (DENTIST)
- **Authorized official phone:** (573) 410-2924

## Contact information

- **Practice address:** 1730 S 7 HWY, BLUE SPRINGS, MO 64014-3947
- **Practice address phone:** (816) 228-8400
- **Practice address fax:** (816) 396-8529
- **Mailing address:** 904 SE TEQUESTA LN, BLUE SPRINGS, MO 64014-2755
- **Mailing address phone:** (573) 410-2924

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2024
- **Last updated:** 03/12/2024