| Sweet Tooth Grandview Llc | |
|
11908 Blue Ridge Ext Grandview MO 64030-1160 | |
| (913) 276-3809 | |
| Not Available |
| Full Name | Sweet Tooth Grandview Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11908 Blue Ridge Ext, Grandview, Missouri |
| Authorized Official Name and Position | Wayne Dobbins (OWNER/DENTIST) |
| Authorized Official Contact | 9132763809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Tooth Grandview Llc 6600 College Blvd Ste 125 Overland Park KS 66211-1522 Ph: (913) 276-3809 | Sweet Tooth Grandview Llc 11908 Blue Ridge Ext Grandview MO 64030-1160 Ph: (913) 276-3809 |
| NPI Number | 1417727967 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417727967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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