Individual
DR. MATTHEW D TINNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
(816) 404-6903
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60671
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407128404
—
MO
Enumeration date
06/24/2010
Last updated
07/15/2020
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