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Organization

LOGAN H. CHILDERS JR. D.D.S. AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOGAN H CHILDERS JR. DDS (OWNER)
(816) 478-4202
Entity
Organization

Contact information

Practice address
12600 E US HIGHWAY 40, INDEPENDENCE, MO 64055-5955
(816) 478-4202
Mailing address
12600 E US HIGHWAY 40, INDEPENDENCE, MO 64055-5955
(816) 478-4202

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011990
MO
1223P0221X
Pediatric Dentistry
010648
MO

Other

Enumeration date
04/11/2007
Last updated
09/11/2025
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