Organization
MIDWEST ORAL AND MAXILLOFACIAL SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D GREEN D.D.S. (PRESIDENT)
(913) 334-6000
Entity
Organization
Contact information
Practice address
8919 PARALLEL PKWY, SUITE 480, KANSAS CITY, KS 66112-1636
(913) 334-6000
(913) 334-7990
Mailing address
8919 PARALLEL PKWY, SUITE 480, KANSAS CITY, KS 66112-1636
(913) 334-6000
(913) 334-7990
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314930C
—
KS
05
—
100364740A
—
KS
Enumeration date
02/21/2006
Last updated
04/09/2010
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