| Village Dental, Llc | |
|
415 E Us Highway 69 Kansas City MO 64119-3118 | |
| (816) 580-4191 | |
| Not Available |
| Full Name | Village Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 415 E Us Highway 69, Kansas City, Missouri |
| Authorized Official Name and Position | Amy D Kanning (BUSINESS MANAGER) |
| Authorized Official Contact | 9139089523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental, Llc 415 E Us Highway 69 Kansas City MO 64119-3118 Ph: () - | Village Dental, Llc 415 E Us Highway 69 Kansas City MO 64119-3118 Ph: (816) 580-4191 |
| NPI Number | 1417552464 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417552464 | NPI | - | NPPES |
| 1477164705 | Other | MO | NPI TYPE I |
| 1477992246 | Other | MO | NPI TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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