Individual
DR. WILLIAM E. LUTHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
325 SE WILSON ST, LEES SUMMIT, MO 64063-2715
(816) 525-0399
(816) 525-5160
Mailing address
325 SE WILSON ST, LEES SUMMIT, MO 64063-2715
(816) 525-0399
(816) 525-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223G0001X
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05948020
BLUE CROSS BLUE SHIELD KC
MO
01
—
470950518
FEDREAL ID# 47-0950518
MO
Enumeration date
09/20/2006
Last updated
07/08/2007
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