| Craig Grider Dds Pc | |
|
101 Sw 3rd St Lees Summit MO 64063-2326 | |
| (816) 246-9995 | |
| Not Available |
| Full Name | Craig Grider Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 101 Sw 3rd St, Lees Summit, Missouri |
| Authorized Official Name and Position | Craig Grider (PRESIDENT) |
| Authorized Official Contact | 8162469995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Grider Dds Pc 101 Sw 3rd St Lees Summit MO 64063-2326 Ph: (816) 246-9995 | Craig Grider Dds Pc 101 Sw 3rd St Lees Summit MO 64063-2326 Ph: (816) 246-9995 |
| NPI Number | 1558376384 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558376384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE 015889 (Missouri) | Primary |
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