| Crossroads Dentistry | |
|
1819 Wyandotte St Kansas City MO 64108-1980 | |
| (816) 841-0206 | |
| (816) 221-5503 |
| Full Name | Crossroads Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1819 Wyandotte St, Kansas City, Missouri |
| Authorized Official Name and Position | J Daniel Fleming (OWNER) |
| Authorized Official Contact | 8168410206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Dentistry 1819 Wyandotte St Kansas City MO 64108-1980 Ph: (816) 841-0206 | Crossroads Dentistry 1819 Wyandotte St Kansas City MO 64108-1980 Ph: (816) 841-0206 |
| NPI Number | 1023477304 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 02/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023477304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14474 (Missouri) | Primary |
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