Organization
JOHN A. DEAKINS DDS PC
Active
Parent organization
JOHN A. DEAKINS DDS PC
Other names
Northland Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN A. DEAKINS DDS PC
Authorized official
JOHN A. DEAKINS DDS (OWNER)
(816) 781-7280
Entity
Organization
Contact information
Practice address
6 VICTORY LN, STE 1, LIBERTY, MO 64068-2053
(816) 781-7280
(816) 781-7568
Mailing address
6 VICTORY LN, STE 1, LIBERTY, MO 64068-2053
(816) 781-7280
(816) 781-7568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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