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803 N 36th St Suite C Saint Joseph MO 64506-2970 | |
| (816) 364-4422 | |
| (816) 364-1122 |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 803 N 36th St, Saint Joseph, Missouri |
| Authorized Official Name and Position | Ryan Mitchell Walker (PRESIDENT) |
| Authorized Official Contact | 8163644422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
803 N 36th St Suite C Saint Joseph MO 64506-2970 Ph: (816) 364-4422 | 803 N 36th St Suite C Saint Joseph MO 64506-2970 Ph: (816) 364-4422 |
| NPI Number | 1649471186 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649471186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2003011564 (Missouri) | Primary |
| 1223E0200X | Dentist - Endodontics | 2004009677 (Missouri) | Secondary |
Northwest Missouri Oral & Maxillofacial Surgeons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3109 Frederick Ave Ste A, Saint Joseph, MO 64506 Phone: 816-364-4774 | |
Elmore Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3921 Sherman Ave, Saint Joseph, MO 64506 Phone: 816-279-3300 | |
Midwestperiodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 W Saint Maartens Dr, Suite A, Saint Joseph, MO 64506 Phone: 816-364-3325 |