Individual
DR. MICHAEL P ESTIVO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 HOSPITAL DR, SMITHVILLE, MO 64089-9333
(816) 873-3260
Mailing address
110 HOSPITAL DR, SMITHVILLE, MO 64089-9333
(316) 648-0727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2018026921
MO
1223G0001X
General Practice Dentistry
Primary
61463
KS
Other
Enumeration date
07/13/2018
Last updated
12/10/2025
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