| Midwest Oral And Maxillofacial Surgery, P.a. | |
|
8919 Parallel Pkwy Suite 480 Kansas City KS 66112-1636 | |
| (913) 334-6000 | |
| (913) 334-7990 |
| Full Name | Midwest Oral And Maxillofacial Surgery, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8919 Parallel Pkwy, Kansas City, Kansas |
| Authorized Official Name and Position | Steven D Green (PRESIDENT) |
| Authorized Official Contact | 9133346000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Oral And Maxillofacial Surgery, P.a. 8919 Parallel Pkwy Suite 480 Kansas City KS 66112-1636 Ph: (913) 334-6000 | Midwest Oral And Maxillofacial Surgery, P.a. 8919 Parallel Pkwy Suite 480 Kansas City KS 66112-1636 Ph: (913) 334-6000 |
| NPI Number | 1942275029 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 04/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942275029 | NPI | - | NPPES |
| 100314930C | Medicaid | KS | |
| 100364740A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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