Individual
JOHN A DEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6 VICTORY LN STE 1, LIBERTY, MO 64068-3805
(816) 781-7280
(816) 781-7568
Mailing address
6416 N COSBY AVE, KANSAS CITY, MO 64151-2377
(573) 823-3612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011018553
MO
Other
Enumeration date
06/22/2011
Last updated
06/03/2015
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