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LAKEWOOD ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS NPI 1730460270


NPI Information

NPI: 1730460270
Provider Name: LAKEWOOD ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
3600 NE RALPH POWELL RD
SUITE D
LEES SUMMIT, MO
ZIP 64064
Phone: (816) 554-8300
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LAKEWOOD ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS is an oral maxillofacial surgery in Lees Summit, MO. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. LAKEWOOD ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS NPI is 1730460270. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3600 NE RALPH POWELL RD
SUITE D
LEES SUMMIT, MO
ZIP 64064-369
Phone: (816) 554-8300
Fax: (816) 554-8303

The provider's authorized official is Christopher J Haggerty .
The authorized official title is Member and has the following contact phone number (816) 554-8300.

The enumeration date for this NPI number is 8/29/2011 and was last updated on 8/29/2011.


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
11223S0112XDentistOral and Maxillofacial Surgery2002013152MISSOURINo
21223S0112XDentistOral and Maxillofacial Surgery60577KANSASNo
3204E00000XOral & Maxillofacial Surgery04-34622KANSASNo
4204E00000XOral & Maxillofacial Surgery2008034915MISSOURIYes

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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