Organization
DENNIS T. MYERS D.D.S.,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM KAY MANTHE (OFFICE MANAGER)
(816) 232-9790
Entity
Organization
Contact information
Practice address
3115 ASHLAND AVE SUIT299, ST JOSEPH, MO 64506
(816) 232-9790
(816) 232-9814
Mailing address
3115 ASHLAND AVE SUIT299, ST JOSEPH, MO 64506
(816) 232-9790
(816) 232-9814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011475
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860976
BCBS OF KS
KS
Enumeration date
07/25/2007
Last updated
07/25/2007
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