Individual
DR. EDWIN M MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18110 E 24 HWY, INDEPENDENCE, MO 64056-1170
(816) 796-9366
(816) 796-9797
Mailing address
18110 E 24 HWY, INDEPENDENCE, MO 64056-1170
(816) 796-9366
(816) 796-9797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13974
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10150018
BLUE CROSS BLUE SHIELD
MO
01
—
483652
UNITED CONCORDIA
PA
Enumeration date
02/07/2006
Last updated
03/31/2016
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