| Excelsior Springs Family Dentistry Llc | |
|
196 S. Mccleary Rd Excelsior Springs MO 64024 | |
| (816) 630-5713 | |
| (816) 630-0392 |
| Full Name | Excelsior Springs Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 196 S. Mccleary Rd, Excelsior Springs, Missouri |
| Authorized Official Name and Position | Kari J Simmons (OFFICE MANAGER) |
| Authorized Official Contact | 8166305713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Springs Family Dentistry Llc 196 S. Mccleary Rd Excelsior Springs MO 64024 Ph: (816) 630-5713 | Excelsior Springs Family Dentistry Llc 196 S. Mccleary Rd Excelsior Springs MO 64024 Ph: (816) 630-5713 |
| NPI Number | 1508330986 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508330986 | NPI | - | NPPES |
| 1063426799 | Other | MO | DDS |
| 1306850680 | Other | MO | DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dallin Josephson Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2011 W Jesse James Rd, Excelsior Springs, MO 64024 Phone: 816-630-5533 Fax: 816-630-2234 |