Summit Pediatric Dentistry | |
24 Nw Chipman Rd Ste B Lees Summit MO 64063-1929 | |
(816) 256-0073 | |
Not Available |
Full Name | Summit Pediatric Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 24 Nw Chipman Rd Ste B, Lees Summit, Missouri |
Authorized Official Name and Position | Moncy Mathew (OWNER/DENTIST) |
Authorized Official Contact | 8162560073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Summit Pediatric Dentistry 24 Nw Chipman Rd Ste B Lees Summit MO 64063-1929 Ph: (816) 256-0073 | Summit Pediatric Dentistry 24 Nw Chipman Rd Ste B Lees Summit MO 64063-1929 Ph: (816) 256-0073 |
NPI Number | 1053848374 |
---|---|
Provider Enumeration Date | 05/17/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053848374 | NPI | - | NPPES |
1841474293 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 2006037222 (Missouri) | Primary |
Jamie L. Thurman-taylor, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3568 Sw Market St, Lees Summit, MO 64082 Phone: 816-537-6161 | |
Phillip Montoya, Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4951 Ne Goodview Cir Ste C, Lees Summit, MO 64064 Phone: 816-373-5574 | |
Jon K. Mcclay Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Sw 3rd St, Lees Summit, MO 64063 Phone: 816-524-3734 Fax: 816-524-9211 | |
Raintree Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 Sw Market St, Lees Summit, MO 64082 Phone: 816-623-3565 Fax: 816-623-3476 | |
Erin Neill Bromley, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 Se Bayberry Ln, Suite 105, Lees Summit, MO 64063 Phone: 816-525-5257 | |
Mint Dental Summit Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Murray Rd Ste 304, Lees Summit, MO 64081 Phone: 816-287-5650 |