FACIAL SURGERY GROUP PC NPI 1194745620

NPI Information

  • NPI: 1194745620
  • Provider Name: FACIAL SURGERY GROUP PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Former Legal Business Name: TANNER AND MOORE
  • Address: 4700 BELLEVIEW
    STE L 10
    KANSAS CITY, MO
    ZIP 64112
  • Phone: (816) 561-1115

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NPI Details

FACIAL SURGERY GROUP PC is an oral and maxillofacial surgery dentist in Kansas City, 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. FACIAL SURGERY GROUP PC NPI is 1194745620. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Tanner And Moore.

The provider's business location address is:

4700 BELLEVIEW
STE L 10
KANSAS CITY, MO
ZIP 64112-360
Phone: (816) 561-1115
Fax: (816) 931-7912

The provider's authorized official is Louann Allen .
The authorized official title is Practice Manager and has the following contact phone number (816) 561-1115.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDE015216MISSOURINo
21223S0112XDentistOral and Maxillofacial SurgeryDE015905MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
127056013OTHERMISSOURIBCBS OF KCMO

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: 11/21/2025

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