Individual
DR. SIMON MACNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2119
Mailing address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2119
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
015779
MO
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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