Twin Oaks Dental LLC
Dentist, General Practice in Gladstone, MO. Organization (NPI-2).
NPI number1619859972
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1619859972
- Entity type
- Organization (NPI-2)
- Legal business name
- Twin Oaks Dental LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2025
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
6301 N Oak Trfy Ste 201Gladstone, MO 64118-4752
Phone 816-413-8282
Mailing address
118007 Betty DrStratford, WI 54484-8026
Phone 515-508-1050 · Fax 515-508-1050
Authorized official
Jacob Craig Baumgartner
Owner/Dentist
5155081050
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