| Facial Surgery Group Pc | |
|
4700 Belleview Ste L 10 Kansas City MO 64112-1360 | |
| (816) 561-1115 | |
| (816) 931-7912 |
| Full Name | Facial Surgery Group Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4700 Belleview, Kansas City, Missouri |
| Authorized Official Name and Position | Louann Allen (PRACTICE MANAGER) |
| Authorized Official Contact | 8165611115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial Surgery Group Pc Po Box 802752 Kansas City MO 64180-0001 Ph: (816) 561-1115 | Facial Surgery Group Pc 4700 Belleview Ste L 10 Kansas City MO 64112-1360 Ph: (816) 561-1115 |
| NPI Number | 1194745620 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194745620 | NPI | - | NPPES |
| 27056013 | Other | MO | BCBS OF KCMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE015905 (Missouri) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE015216 (Missouri) | Secondary |
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