Eg Dental
Dentist, General Practice in Kansas City, MO. Organization (NPI-2).
NPI number1114174752
StatusActive
Last updated in NPPESAug 26, 2008
Details
- NPI
- 1114174752
- Entity type
- Organization (NPI-2)
- Legal business name
- Eg Dental
- Organization subpart
- No
- Enumeration date
- Aug 26, 2008
- Last updated
- Aug 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2007016116 | MO | Yes |
Other names
- Evers Dental (Former Legal Business Name)
Practice location
5815 Nw Barry RdKansas City, MO 64154-1494
Phone 816-741-2333 · Fax 816-741-3888
Mailing address
5815 Nw Barry RdKansas City, MO 64154-1494
Phone 816-741-2333 · Fax 816-741-3888
Authorized official
Gerald Brent Evers
Owner
8167412333
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