Organization
DENTAL SPECIALISTS KANSAS CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATE ANDREWS (CFO)
(816) 388-0985
Entity
Organization
Contact information
Practice address
638 W 39TH ST, KANSAS CITY, MO 64111-2910
(816) 388-0985
Mailing address
638 W 39TH ST, KANSAS CITY, MO 64111-2910
(816) 388-0985
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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