Organization
THOMAS K. COURTNEY, DDS, UBO
Active
Other names
Thomas K. Courtney, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS K COURTNEY D.D.S. (DIRECTING MANAGER)
(816) 669-3611
Entity
Organization
Contact information
Practice address
302 PARK AVE, STEWARTSVILLE, MO 64490-7122
(816) 669-3611
(816) 669-3253
Mailing address
302 PARK AVE, STEWARTSVILLE, MO 64490-7122
(816) 669-3611
(816) 669-3253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05611021
BCBSKC
MO
Enumeration date
11/14/2006
Last updated
08/22/2020
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