Individual
ADAM FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.D.
Contact information
Practice address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108-2727
(816) 404-0500
Mailing address
2310 HOLMES ST STE 800, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2008015944
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2008015944
MO
Other
Enumeration date
02/19/2009
Last updated
12/02/2020
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