| Eg Dental | |
|
5815 Nw Barry Rd Kansas City MO 64154-1494 | |
| (816) 741-2333 | |
| (816) 741-3888 |
| Full Name | Eg Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5815 Nw Barry Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Gerald Brent Evers (OWNER) |
| Authorized Official Contact | 8167412333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eg Dental 5815 Nw Barry Rd Kansas City MO 64154-1494 Ph: (816) 741-2333 | Eg Dental 5815 Nw Barry Rd Kansas City MO 64154-1494 Ph: (816) 741-2333 |
| NPI Number | 1114174752 |
|---|---|
| Provider Enumeration Date | 08/26/2008 |
| Last Update Date | 08/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114174752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2007016116 (Missouri) | Primary |
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