Organization
R P MCGRAW DDS LLC
Active
Other names
Dentistry & Denture Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PAUL MCGRAW JR. DDS (LLC OWNER/MANAGER)
(816) 225-8200
Entity
Organization
Contact information
Practice address
417 NORTHLAND DR, CAMERON, MO 64429-1344
(816) 632-6700
(816) 632-6702
Mailing address
4731 COCHISE, SUITE 210, INDEPENDENCE, MO 64055-6975
(816) 632-6700
(816) 632-6702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2000695
MO
1223G0001X
General Practice Dentistry
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31565026
BCBS OF MO
MO
Enumeration date
09/21/2006
Last updated
07/15/2008
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