| Silver Lake Dentistry | |
|
901 W Foxwood Dr Raymore MO 64083-7200 | |
| (816) 322-2292 | |
| (636) 600-5314 |
| Full Name | Silver Lake Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 901 W Foxwood Dr, Raymore, Missouri |
| Authorized Official Name and Position | Joshua Earl Whitford (CEO/PRESIDENT) |
| Authorized Official Contact | 4178940258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Lake Dentistry 901 W Foxwood Dr Raymore MO 64083-7200 Ph: (816) 322-2292 | Silver Lake Dentistry 901 W Foxwood Dr Raymore MO 64083-7200 Ph: (816) 322-2292 |
| NPI Number | 1851557524 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851557524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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