SUMMIT PEDIATRIC DENTISTRY NPI 1053848374

NPI Information

SUMMIT PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Lees Summit, MO. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SUMMIT PEDIATRIC DENTISTRY NPI is 1053848374. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24 NW CHIPMAN RD STE B
LEES SUMMIT, MO
ZIP 64063-929
Phone: (816) 256-0073

The provider's authorized official is Moncy Mathew .
The authorized official title is Owner/dentist and has the following contact phone number (816) 256-0073.

The enumeration date for this NPI number is 5/17/2017 and was last updated on 7/21/2022.

Taxonomy Codes

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Other Identifiers

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