Organization
JAMES L. MCCREARY DDS
Active
Other names
Citadel Dental Group KC MO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LARRY MCCREARY DDS (DENTIST-OWNER OF PRACTICE)
(816) 523-4444
Entity
Organization
Contact information
Practice address
1734 E 63RD STREET, SUITE #401, KANSAS CITY, MO 64110
(816) 523-4444
(816) 523-2689
Mailing address
1734 E 63RD STREET, SUITE #401, KANSAS CITY, MO 64110
(816) 523-4444
(816) 523-2689
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
11801
MO
126800000X
Dental Assistant
2006023201
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000548
—
MO
Enumeration date
01/13/2012
Last updated
01/13/2012
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