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Organization

EDWIN M. MYERS, D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWIN M MYERS DDS (DENTIST)
(816) 796-9366
Entity
Organization

Contact information

Practice address
18110 E US HIGHWAY 24, STE. A, INDEPENDENCE, MO 64056-1170
(816) 796-9366
(816) 796-9797
Mailing address
18110 E US HIGHWAY 24, SUITE A, INDEPENDENCE, MO 64056-1170
(816) 796-9366
(816) 796-9797

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13974
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031943
BLUE CROSS BLUE SHIELD
KS
01
10150018
BLUE CROSS BLUE SHIELD PROVIDER ID#
MO
01
483652
UNITED CONCORDIA
MO
Enumeration date
11/11/2008
Last updated
11/11/2008
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