# KANSAS CITY SURGICAL ARTS LLC

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

## Provider details

- **NPI number:** 1942551247
- **Authorized official:** DR. MATTHEW ROBERT HLAVACEK MD (OWNER/OPERATOR)
- **Authorized official phone:** (816) 286-4126

## Contact information

- **Practice address:** 8080 NORTH FLINTLOCK ROAD, KANSAS CITY, MO 64158
- **Practice address phone:** (816) 286-4126
- **Practice address fax:** (816) 278-5797
- **Mailing address:** 1428 TIMBER RIDGE DR., LIBERTY, MO 64068-1126
- **Mailing address phone:** (816) 286-4126
- **Mailing address fax:** (816) 278-5797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 016083 | MO | Yes |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 10/24/2012