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INDEPENDENCE ORTHODONTICS LLC NPI 1013462928


NPI Information

NPI: 1013462928
Provider Name: INDEPENDENCE ORTHODONTICS, LLC
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

CLIA Number: 26D0983082

Address:
651 E US HIGHWAY 24
INDEPENDENCE, MO
ZIP 64050
Phone: (816) 461-0300
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INDEPENDENCE ORTHODONTICS, LLC is an orthodontics and dentofacial orthopedics dentist in Independence, MO. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. INDEPENDENCE ORTHODONTICS, LLC NPI is 1013462928. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

651 E US HIGHWAY 24
INDEPENDENCE, MO
ZIP 64050-974
Phone: (816) 461-0300

The provider's authorized official is Shayna Bahr .
The authorized official title is Manager and has the following contact phone number (303) 524-4501.

The CLIA number assigned to this NPI record is 26D0983082 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2016 and was last updated on 8/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics2008019818MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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