| Kingdom Kids Dental Llc | |
|
3102 Prospect Ave Kansas City MO 64128-1559 | |
| (816) 674-9796 | |
| Not Available |
| Full Name | Kingdom Kids Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3102 Prospect Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Krista Shehan (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 8166749796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Kids Dental Llc 305 Nw Shagbark St Lees Summit MO 64064-1447 Ph: (816) 674-9796 | Kingdom Kids Dental Llc 3102 Prospect Ave Kansas City MO 64128-1559 Ph: (816) 674-9796 |
| NPI Number | 1023864824 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023864824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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