| Caresa Doakes, Dds Llc | |
|
801 W 47th St Ste 110 Kansas City MO 64112-1253 | |
| (816) 931-2191 | |
| Not Available |
| Full Name | Caresa Doakes, Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 801 W 47th St Ste 110, Kansas City, Missouri |
| Authorized Official Name and Position | Caresa Doakes (OWNER) |
| Authorized Official Contact | 8169312191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caresa Doakes, Dds Llc 801 W 47th St Ste 110 Kansas City MO 64112-1253 Ph: (816) 931-2191 | Caresa Doakes, Dds Llc 801 W 47th St Ste 110 Kansas City MO 64112-1253 Ph: (816) 931-2191 |
| NPI Number | 1134508922 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134508922 | NPI | - | NPPES |
| 1134533466 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2014018209 (Missouri) | Primary |
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