| Antioch Dental Group | |
|
5420 Ne Antioch Road Kansas City MO 64119 | |
| (816) 452-9700 | |
| (816) 452-9779 |
| Full Name | Antioch Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5420 Ne Antioch Road, Kansas City, Missouri |
| Authorized Official Name and Position | Fred E Bailey (DENTIST OWNER) |
| Authorized Official Contact | 8164529700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antioch Dental Group 5420 Ne Antioch Road Kansas City MO 64119 Ph: (816) 452-9700 | Antioch Dental Group 5420 Ne Antioch Road Kansas City MO 64119 Ph: (816) 452-9700 |
| NPI Number | 1336207448 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336207448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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