| Gladstone Family Dental Associates Llc | |
|
2019 Ne 72nd Street 105 Gladstone MO 64118 | |
| (816) 452-3420 | |
| Not Available |
| Full Name | Gladstone Family Dental Associates Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2019 Ne 72nd Street, Gladstone, Missouri |
| Authorized Official Name and Position | Gregory Dale (OWNER) |
| Authorized Official Contact | 8164523420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gladstone Family Dental Associates Llc 2019 Ne 72nd Street 105 Gladstone MO 64118 Ph: (816) 452-3420 | Gladstone Family Dental Associates Llc 2019 Ne 72nd Street 105 Gladstone MO 64118 Ph: (816) 452-3420 |
| NPI Number | 1902447618 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 10/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902447618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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