Organization
HEALTHY SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KEVIN MA D.D.S. (PRESIDENT, MANAGER)
(816) 392-9869
Entity
Organization
Contact information
Practice address
16641 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 833-2700
(816) 836-3480
Mailing address
16641 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 833-2700
(816) 836-3480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2005015641
MO
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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