| Stephanie L. Mullins, Dds Ms Llc | |
|
3470 Ne Ralph Powell Rd Ste C Lees Summit MO 64064-2330 | |
| (816) 524-9800 | |
| Not Available |
| Full Name | Stephanie L. Mullins, Dds Ms Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3470 Ne Ralph Powell Rd Ste C, Lees Summit, Missouri |
| Authorized Official Name and Position | Faith Gaskins (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie L. Mullins, Dds Ms Llc 3470 Ne Ralph Powell Rd Ste C Lees Summit MO 64064-2330 Ph: (816) 524-9800 | Stephanie L. Mullins, Dds Ms Llc 3470 Ne Ralph Powell Rd Ste C Lees Summit MO 64064-2330 Ph: (816) 524-9800 |
| NPI Number | 1346842309 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346842309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
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