VILLAGE DENTAL LLC NPI 1417552464

NPI Information

NPI: 1417552464
Provider Name: VILLAGE DENTAL, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
415 E US HIGHWAY 69
KANSAS CITY, MO
ZIP 64119
Phone: (816) 580-4191
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VILLAGE DENTAL, LLC is a dental clinic center in Kansas City, MO. VILLAGE DENTAL, LLC NPI is 1417552464. The provider is registered as an organization entity type.

The provider's business location address is:

415 E US HIGHWAY 69
KANSAS CITY, MO
ZIP 64119-118
Phone: (816) 580-4191

The provider's authorized official is Amy D Kanning .
The authorized official title is Business Manager and has the following contact phone number (913) 908-9523.

The enumeration date for this NPI number is 11/30/2020 and was last updated on 3/18/2024.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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
1	1477164705	OTHER	MISSOURI	NPI TYPE I
2	1477992246	OTHER	MISSOURI	NPI TYPE I

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

NPI Synchronization or Removal

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