Organization
ORTHODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE E. SIMMONS D.D.S. (PRESIDENT)
(816) 753-0377
Entity
Organization
Contact information
Practice address
3500 NE RALPH POWELL RD STE B, LEES SUMMIT, MO 64064-2378
(816) 317-0130
(816) 873-1099
Mailing address
3500 NE RALPH POWELL RD STE B, LEES SUMMIT, MO 64064-2378
(816) 317-0130
(816) 873-1099
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015874
MO
Other
Enumeration date
11/20/2008
Last updated
11/16/2022
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