| John K. Kiesendahl, D.d.s.,p.c. | |
|
400 E Red Bridge Rd Suite 200 Kansas City MO 64131-4035 | |
| (816) 942-7789 | |
| (816) 942-5964 |
| Full Name | John K. Kiesendahl, D.d.s.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 400 E Red Bridge Rd, Kansas City, Missouri |
| Authorized Official Name and Position | John K Kiesendahl (PRESIDENT) |
| Authorized Official Contact | 8169427789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John K. Kiesendahl, D.d.s.,p.c. 400 E Red Bridge Rd Suite 200 Kansas City MO 64131-4035 Ph: (816) 942-7789 | John K. Kiesendahl, D.d.s.,p.c. 400 E Red Bridge Rd Suite 200 Kansas City MO 64131-4035 Ph: (816) 942-7789 |
| NPI Number | 1093934747 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093934747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MO10852 (Missouri) | Primary |
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