Individual
DR. GREGORY A. STIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.D.
Contact information
Practice address
325 EAST 135TH ST., KANSAS CITY, MO 64145
(816) 941-7788
(816) 941-4413
Mailing address
325 EAST 135TH ST, KANSAS CITY, MO 64145
(816) 941-7788
(816) 941-4413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14129
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14129
LISENSE NUMBER
MO
Enumeration date
08/21/2006
Last updated
11/14/2016
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