SUMMIT ORAL SURGERY CENTER LLC is an oral and maxillofacial surgery dentist in Independence, MO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SUMMIT ORAL SURGERY CENTER LLC NPI is 1114868957. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
19921 E JACKSON DR INDEPENDENCE, MO ZIP 64057-596 Phone: (313) 600-2188
The provider's authorized official is Michael Lee . The authorized official title is Administrator and has the following contact phone number (313) 600-2188.
The enumeration date for this NPI number is 4/4/2026 and was last updated on 4/4/2026.
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:
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: 11/21/2025
NPI Synchronization or Removal
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