# IAN R KUKLENSKI DDS PC

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

## Provider details

- **NPI number:** 1881112068
- **Authorized official:** IAN KUKLENSKI DDS (OWNER)
- **Authorized official phone:** (816) 331-5900

## Contact information

- **Practice address:** 8435 CLINT DR, BELTON, MO 64012-5330
- **Practice address phone:** (816) 331-5900
- **Mailing address:** 8435 CLINT DR, BELTON, MO 64012-5330
- **Mailing address phone:** (816) 331-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 20170221247 | MO | Yes |

## Other

- **Enumeration date:** 09/07/2017
- **Last updated:** 07/21/2022