Individual
DR. JAMES B. INDIVERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
300 NW R.D. MIZE ROAD, BLUE SPRINGS, MO 64014
(816) 229-1245
(816) 229-7555
Mailing address
300 NW R.D. MIZE ROAD, BLUE SPRINGS, MO 64014
(816) 229-1245
(816) 229-7555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
015196DENTAL
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
445ORTHO
KS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6441DENTAL
KS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
810ORTHO
MO
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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