Organization · Type 2 NPI

Kansas City University

Dental Clinic/Center · Joplin, MO

NPI number 1295773638 Active

Practice location

3001 St. John's Boulevard
Joplin, MO 64804

Fax (877) 550-1765

Specialties and licenses

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

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1295773638
Entity type: Organization (Type 2)
Issued: Jun 4, 2006
Last updated: Jul 2, 2024
Status: Active

Other names

<unavail>
Kcu Oral Health Center · doing business as
Kcu Oral Health Center · doing business as

Authorized official

Marla Laval
Director Finance and Clinic Admin
(417) 208-0805

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 1295773638

Kansas City University's National Provider Identifier is 1295773638, issued on Jun 4, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Joplin, MO. The record was last updated on Jul 2, 2024.