Organization
UMKC SCHOOL OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M WELLS DMD (ASSOCIATE DEAN, CLINICAL PROGRAMS)
(816) 235-2152
Entity
Organization
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2136
(816) 235-5472
Mailing address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2136
(816) 235-5472
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
11597
MO
261QD0000X
Dental Clinic/Center
Primary
2011013371
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400519401
—
MO
Enumeration date
11/10/2005
Last updated
03/10/2017
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