| Kc Dentistry 4 Kids Llc | |
|
1900 Ne 72nd St Ste A Gladstone MO 64118-2328 | |
| (480) 866-8811 | |
| Not Available |
| Full Name | Kc Dentistry 4 Kids Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1900 Ne 72nd St Ste A, Gladstone, Missouri |
| Authorized Official Name and Position | Teresa Zwicky (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4808668811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Dentistry 4 Kids Llc 5717 E Thomas Rd Ste 100 Scottsdale AZ 85251-7620 Ph: (480) 866-8811 | Kc Dentistry 4 Kids Llc 1900 Ne 72nd St Ste A Gladstone MO 64118-2328 Ph: (480) 866-8811 |
| NPI Number | 1417638792 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417638792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Jackson Family Dental Gladstone Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 Ne 72nd St, Ste 104, Gladstone, MO 64118 Phone: 816-453-3100 Fax: 816-453-3180 | |
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