Organization
PREMIER DENTAL L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN DENIS CAYE DDS (DENTIST)
(816) 517-6500
Entity
Organization
Contact information
Practice address
1648 SE BLUE PARKWAY, LEE'S SUMMIT, MO 64063
(816) 517-6500
Mailing address
1648 SE BLUE PARKWAY, LEE'S SUMMIT, MO 64063
(816) 517-6500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014018886
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760896831
NPI
MO
Enumeration date
07/25/2016
Last updated
07/25/2016
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