| Northland Oral & Maxillofacial Surgery | |
|
6301 N Oak Trfy Suite 101 Kansas City MO 64118-4705 | |
| (816) 452-0300 | |
| (816) 452-3385 |
| Full Name | Northland Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6301 N Oak Trfy, Kansas City, Missouri |
| Authorized Official Name and Position | Cindy Waldman (OFFICE MRG) |
| Authorized Official Contact | 8164520300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Oral & Maxillofacial Surgery 6301 N Oak Trfy Suite 101 Kansas City MO 64118-4705 Ph: (816) 452-0300 | Northland Oral & Maxillofacial Surgery 6301 N Oak Trfy Suite 101 Kansas City MO 64118-4705 Ph: (816) 452-0300 |
| NPI Number | 1811980469 |
|---|---|
| Provider Enumeration Date | 08/30/2005 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811980469 | NPI | - | NPPES |
| 22814021 | Other | MO | BCBS |
| L370000 | Other | MO | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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