Organization
ANTIOCH DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED E BAILEY DDS (OWNER DENTIST)
(816) 452-9700
Entity
Organization
Contact information
Practice address
5420 NE ANTIOCH ROAD, KANSAS CITY, MO 64119
(816) 452-9700
(816) 452-9779
Mailing address
5420 NE ANTIOCH ROAD, KANSAS CITY, MO 64119
(816) 452-9700
(816) 452-9779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013597
MO
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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