UMKC SCHOOL OF DENTISTRY NPI 1992786412

NPI Information

NPI: 1992786412
Provider Name: UMKC SCHOOL OF DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 26D2038894

Address:
650 E 25TH ST
KANSAS CITY, MO
ZIP 64108
Phone: (816) 235-2136
Get Directions

UMKC SCHOOL OF DENTISTRY is a dental clinic center in Kansas City, MO. UMKC SCHOOL OF DENTISTRY NPI is 1992786412. The provider is registered as an organization entity type.

The provider's business location address is:

650 E 25TH ST
KANSAS CITY, MO
ZIP 64108-716
Phone: (816) 235-2136
Fax: (816) 235-5472

The provider's authorized official is Linda M Wells .
The authorized official title is Associate Dean, Clinical Programs and has the following contact phone number (816) 235-2152.

The CLIA number assigned to this NPI record is 26D2038894 - other - dental school clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 3/10/2017.

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	11597	MISSOURI	No
2	261QD0000X	Clinic/Center	Dental	2011013371	MISSOURI	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	400519401	MEDICAID	MISSOURI

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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