# WESTPORT PLAZA DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1992903140
- **Authorized official:** DR. JOHN A WALDRON JR. D.D.S. (DENTIST)
- **Authorized official phone:** (816) 561-6150

## Contact information

- **Practice address:** 801 W 47TH ST, 408, KANSAS CITY, MO 64112-1377
- **Practice address phone:** (816) 561-6150
- **Practice address fax:** (816) 561-6738
- **Mailing address:** 801 W 47TH ST, 408, KANSAS CITY, MO 64112-1377
- **Mailing address phone:** (816) 561-6150
- **Mailing address fax:** (816) 561-6738

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 07/10/2007