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TRUMAN VILLAGE FAMILY DENTAL LLC NPI 1184088395


NPI Information

NPI: 1184088395
Provider Name: TRUMAN VILLAGE FAMILY DENTAL LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
514 S NOLAND RD
SUITE 120
INDEPENDENCE, MO
ZIP 64050
Phone: (816) 836-5520
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TRUMAN VILLAGE FAMILY DENTAL LLC is a general practice dentist in Independence, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TRUMAN VILLAGE FAMILY DENTAL LLC NPI is 1184088395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

514 S NOLAND RD
SUITE 120
INDEPENDENCE, MO
ZIP 64050-976
Phone: (816) 836-5520
Fax: (816) 836-5043

The provider's authorized official is Bryan Pace .
The authorized official title is Business Manager and has the following contact phone number (816) 226-7005.

The enumeration date for this NPI number is 4/13/2016 and was last updated on 4/13/2016.


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
11223G0001XDentistGeneral PracticeMISSOURIYes

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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