DENTAL DEPOT OF BLUE SPRINGS PLLC NPI 1164033122

NPI Information

DENTAL DEPOT OF BLUE SPRINGS PLLC is a dental clinic center in Blue Springs, MO. DENTAL DEPOT OF BLUE SPRINGS PLLC NPI is 1164033122. The provider is registered as an organization entity type.
The provider Is Doing Business As Dental Depot Of Blue Springs Pllc.

The provider's business location address is:

1500 S 7 HWY
BLUE SPRINGS, MO
ZIP 64014-943
Phone: (816) 295-7927
Fax: (816) 874-6812

The provider's authorized official is Gaylon Zissa .
The authorized official title is Professional Relations Manager and has the following contact phone number (405) 945-8941.

The enumeration date for this NPI number is 8/13/2020 and was last updated on 6/25/2021.

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:

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