Organization
KC DENTISTRY 4 KIDS LLC
Active
Other names
KC Dentistry 4 Kids
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ZWICKY (CREDENTIALING MANAGER)
(480) 866-8811
Entity
Organization
Contact information
Practice address
1900 NE 72ND ST STE A, GLADSTONE, MO 64118-2328
(480) 866-8811
Mailing address
1900 NE 72ND ST STE A, GLADSTONE, MO 64118-2328
(816) 301-7547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
08/20/2025
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