Organization
FLACK & STONE, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWIN FLACK D.D.S. (ORAL SURGEON/OWNER)
(816) 229-3737
Entity
Organization
Contact information
Practice address
300 W R D MIZE RD, SUITE 100, BLUE SPRINGS, MO 64014-2528
(816) 229-3737
(816) 229-1656
Mailing address
300 W R D MIZE RD, SUITE 100, BLUE SPRINGS, MO 64014-2528
(816) 229-3737
(816) 229-1656
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12700
MO
Other
Enumeration date
06/13/2006
Last updated
10/24/2007
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