Organization
WILLIAMS SMITH HAWKINS ET AL
Active
Other names
Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WILEY DDS (PRESIDENT)
(816) 795-9500
Entity
Organization
Contact information
Practice address
19501 E US HIGHWAY 40, INDEPENDENCE, MO 64055-5475
(816) 795-9500
(816) 795-9501
Mailing address
19501 E US HIGHWAY 40, INDEPENDENCE, MO 64055-5475
(816) 795-9500
(816) 795-9501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23533
MO
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/14/2016
Last updated
02/04/2016
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