| Summit Family Dental Arts Llc | |
|
1701 Sw Us Highway 40 Ste 202 Blue Springs MO 64015-4647 | |
| (816) 229-2442 | |
| Not Available |
| Full Name | Summit Family Dental Arts Llc |
|---|---|
| Speciality | Dentist |
| Location | 1701 Sw Us Highway 40 Ste 202, Blue Springs, Missouri |
| Authorized Official Name and Position | Gregory Calloway (MANAGER) |
| Authorized Official Contact | 8167218334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Dental Arts Llc 4045 Ne Lakewood Way Ste 150 Lees Summit MO 64064-1997 Ph: (816) 350-9119 | Summit Family Dental Arts Llc 1701 Sw Us Highway 40 Ste 202 Blue Springs MO 64015-4647 Ph: (816) 229-2442 |
| NPI Number | 1518632090 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518632090 | NPI | - | NPPES |
| 1659829588 | Other | MO | NPI |
| 1083900021 | Other | MO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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