Organization
COOKSON & HANSEN, DDS, PC
Active
Other names
Northland Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY WALDMAN (OFFICE MRG)
(816) 452-0300
Entity
Organization
Contact information
Practice address
6301 N OAK TRFY, SUITE 101, KANSAS CITY, MO 64118-4705
(816) 452-0300
(816) 452-3385
Mailing address
6301 N OAK TRFY, SUITE 101, KANSAS CITY, MO 64118-4705
(816) 452-0300
(816) 452-3385
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22814021
BCBS
MO
01
—
L370000
MEDICARE RAILROAD
MO
Enumeration date
08/30/2005
Last updated
11/06/2007
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