Organization
DR W THOMAS NORMAN DDS P C
Active
Other names
Blue Springs Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMAS NORMAN DDS (PRESIDENT)
(816) 229-7267
Entity
Organization
Contact information
Practice address
1212 SW LUTTRELL RD STE D, BLUE SPRINGS, MO 64015-4912
(816) 229-7267
(816) 224-8402
Mailing address
1212 SW LUTTRELL RD STE D, BLUE SPRINGS, MO 64015-4912
(816) 229-7267
(816) 224-8402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064954
BLUE CROSS BLUE SHIELD
KS
01
—
06948015
BLUE CROSS BLUE SHIELD
MO
01
—
197232
UNITED CONCORDIA
—
Enumeration date
06/12/2007
Last updated
08/22/2020
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