Individual
DR. BENJAMIN PATRICK UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
717 N 7 HWY, BLUE SPRINGS, MO 64014-2426
(816) 622-2843
Mailing address
909 WALNUT ST APT 605, KANSAS CITY, MO 64106-2002
(785) 979-3626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
60573
KS
1223G0001X
General Practice Dentistry
6249
OK
1223P0221X
Pediatric Dentistry
Primary
2016036717
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200312950B
—
OK
05
—
200566550A
—
KS
05
—
4090189305
—
MO
Enumeration date
07/09/2008
Last updated
07/21/2022
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