DENTAL DEPOT OF INDEPENDENCE PLLC NPI 1568193449

NPI Information

  • NPI: 1568193449
  • Provider Name: DENTAL DEPOT OF INDEPENDENCE, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 16801 E US HIGHWAY 24
    INDEPENDENCE, MO
    ZIP 64056
  • Phone: (816) 750-1345

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NPI Details

DENTAL DEPOT OF INDEPENDENCE, PLLC is a dental clinic center in Independence, MO. DENTAL DEPOT OF INDEPENDENCE, PLLC NPI is 1568193449. The provider is registered as an organization entity type.

The provider's business location address is:

16801 E US HIGHWAY 24
INDEPENDENCE, MO
ZIP 64056-529
Phone: (816) 750-1345
Fax: (816) 399-4615

The provider's authorized official is Gaylon Zissa .
The authorized official title is Director Of Provider Relations and has the following contact phone number (405) 409-3789.

The enumeration date for this NPI number is 6/21/2022 and was last updated on 6/21/2022.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

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