Organization · Type 2 NPI

My Dentist Western Kc, PA

General Practice Dentistry · Kansas City, KS

NPI number 1376963231 Active

Practice location

7848 State Ave
Kansas City, KS 66112-2417

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6 other providers at this address

Other general practice dentistry providers in Kansas City

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NPI record

NPI: 1376963231
Entity type: Organization (Type 2)
Issued: Apr 18, 2014
Last updated: Apr 18, 2014
Status: Active
Subpart: Yes of My Dentist Western Kc, PA

Other names

<unavail>
Mydentist-State Ave. · doing business as

Authorized official

Kendra Walker
Credentialing Coordinator
(217) 540-8312

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 1376963231

My Dentist Western Kc, PA's National Provider Identifier is 1376963231, issued on Apr 18, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kansas City, KS. The record was last updated on Apr 18, 2014.