Organization
INDEPENDENCE AVENUE DENTAL LLC
Active
Other names
True Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL ADAM SILVER DMD (OWNER)
(816) 461-6911
Entity
Organization
Contact information
Practice address
1638 WEST 24 HIGHWAY, INDEPENDENCE, MO 64050
(816) 461-6911
(816) 461-3675
Mailing address
1638 WEST 24 HIGHWAY, INDEPENDENCE, MO 64050
(816) 461-6911
(816) 461-3675
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404078503
—
MO
Enumeration date
01/12/2009
Last updated
06/11/2020
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