Organization · Type 2 NPI

Dental Depot of Blue Springs PLLC

Dental Clinic/Center · Blue Springs, MO

NPI number 1164033122 Active

Practice location

1500 S 7 Hwy
Blue Springs, MO 64014-3943

Call (816) 295-7927 Map

Fax (816) 874-6812

Mailing address

2828 NW 30th St
Oklahoma City, OK 73112-7404

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Amit Patel, DDSDentist Blue Springs, MO NPI 1639545080

Other dental clinic/center providers in Blue Springs

See all in Blue Springs →

NPI record

NPI: 1164033122
Entity type: Organization (Type 2)
Issued: Aug 13, 2020
Last updated: Jun 25, 2021
Status: Active

Other names

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Dental Depot of Blue Springs PLLC · doing business as
Dental Depot of Blue Springs PLLC · doing business as

Authorized official

Gaylon Zissa
Professional Relations Manager
(405) 945-8941

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164033122

Dental Depot of Blue Springs PLLC's National Provider Identifier is 1164033122, issued on Aug 13, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Blue Springs, MO. The record was last updated on Jun 25, 2021.