Organization
ROGER L FENDER DDS
Active
Other names
Fender Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER LOREN FENDER DDS (OWNER)
(816) 524-3434
Entity
Organization
Contact information
Practice address
519 SW 3RD ST, SUITE G, LEES SUMMIT, MO 64063-2258
(816) 524-3434
(816) 524-3622
Mailing address
PO BOX 2496, LEES SUMMIT, MO 64063-6496
(816) 524-3434
(816) 524-3622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MO 14150
MO
Other
Enumeration date
12/01/2005
Last updated
08/22/2020
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