Organization
ANTIOCH DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED E BAILEY DDS (DENTIST OWNER)
(816) 452-9700
Entity
Organization
Contact information
Practice address
5420 NE ANTIOCH ROAD, KANSAS CITY, MO 64119
(816) 452-9700
(816) 452-9779
Mailing address
5420 NE ANTIOCH ROAD, KANSAS CITY, MO 64119
(816) 452-9700
(816) 452-9779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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