WALDO ORAL SURGERY LLC NPI 1821586603

NPI Information

  • NPI: 1821586603
  • Provider Name: WALDO ORAL SURGERY, LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: WALDO DENTAL CARE
  • Address: 8043 WORNALL RD STE 201
    KANSAS CITY, MO
    ZIP 64114
  • Phone: (816) 214-8339

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NPI Details

WALDO ORAL SURGERY, LLC 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. WALDO ORAL SURGERY, LLC NPI is 1821586603. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Waldo Dental Care.

The provider's business location address is:

8043 WORNALL RD STE 201
KANSAS CITY, MO
ZIP 64114-822
Phone: (816) 214-8339
Fax: (816) 216-1742

The provider's authorized official is Alicia A Tamburello .
The authorized official title is Regional Manager Of Billing & Ins and has the following contact phone number (816) 830-9030.

The enumeration date for this NPI number is 4/26/2018 and was last updated on 4/26/2018.

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 Surgery2016011725MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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