Individual
DR. EDWARD RAY OMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6115 BLUE RIDGE BLVD, RAYTOWN, MO 64133
(816) 358-4428
(816) 358-4460
Mailing address
6115 BLUE RIDGE BLVD, RAYTOWN, MO 64133
(816) 358-4428
(816) 358-4460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010460
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010460MO
DELTA DENTAL
MO
01
—
05471012
BLUE CROSS BLUE SHIELD
MO
01
—
70408
FORTIS
MO
01
—
716511
UNITED CONCORDIA
MO
Enumeration date
09/01/2006
Last updated
07/08/2007
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