| Facial Spectrum Inc | |
|
1208 Ne Windsor Dr Lees Summit MO 64086-5594 | |
| (816) 524-4334 | |
| (816) 524-4399 |
| Full Name | Facial Spectrum Inc |
|---|---|
| Speciality | Dentist |
| Location | 1208 Ne Windsor Dr, Lees Summit, Missouri |
| Authorized Official Name and Position | Steven J Prstojevich (OWNER/SURGEON) |
| Authorized Official Contact | 8165244334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial Spectrum Inc 1208 Ne Windsor Dr Lees Summit MO 64086-5594 Ph: (816) 524-4334 | Facial Spectrum Inc 1208 Ne Windsor Dr Lees Summit MO 64086-5594 Ph: (816) 524-4334 |
| NPI Number | 1699861906 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 07/31/2007 |
| Medicare PECOS PAC ID | 9931206299 |
|---|---|
| Medicare Enrollment ID | O20070521000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699861906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Steven J Prstojevich |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1588626659 PECOS PAC ID: 4486745965 Enrollment ID: I20070830000540 |
Jamie L. Thurman-taylor, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3568 Sw Market St, Lees Summit, MO 64082 Phone: 816-537-6161 | |
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