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3801 Dr Martin Luther King Jr Blvd Kansas City MO 64130-2807 | |
| (816) 923-5800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3801 Dr Martin Luther King Jr Blvd, Kansas City, Missouri |
| Authorized Official Name and Position | Essence Montgomery (CFO) |
| Authorized Official Contact | 8165995683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3801 Dr Martin Luther King Jr Blvd Kansas City MO 64130-2807 Ph: (816) 923-5800 | 3801 Dr Martin Luther King Jr Blvd Kansas City MO 64130-2807 Ph: (816) 923-5800 |
| NPI Number | 1659410256 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659410256 | NPI | - | NPPES |
| 400586103 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dental Designs Lc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9501 North Oak, Suite 205, Kansas City, MO 64155 Phone: 816-436-2242 Fax: 816-436-5435 | |
Artis L. Clark, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6724 Troost Ave, 114, Kansas City, MO 64131 Phone: 816-333-4110 | |
Emily Hayes Dds Dental Center Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E 63rd St, Kansas City, MO 64113 Phone: 816-333-1393 Fax: 816-361-6275 | |
Kingdom Kids Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3102 Prospect Ave, Kansas City, MO 64128 Phone: 816-674-9796 |