| Immediadent | |
|
4420 Dixie Hwy Ste 110 Shively KY 40216 | |
| (913) 428-1684 | |
| Not Available |
| Full Name | Immediadent |
|---|---|
| Speciality | Dentist |
| Location | 4420 Dixie Hwy Ste 110, Shively, Kentucky |
| Authorized Official Name and Position | Jacquelynn R Adkins (SR. ACCOUNTING MANAGER) |
| Authorized Official Contact | 9134281684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediadent Po Box 11568 Overland Park KS 66207-4268 Ph: (913) 428-1686 | Immediadent 4420 Dixie Hwy Ste 110 Shively KY 40216 Ph: (913) 428-1684 |
| NPI Number | 1023544236 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023544236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |