Claycomo Dental Group Llc

LBN: Claycomo Dental Group Llc
Claycomo Dental Group Llc is an health care organization with primary practice located at 244 E Us Highway 69 Suite 101, Kansas City MO 64119-3184. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Claycomo Dental Group Llc can be contacted via phone (816) 454-1313, or through Shewanick, Bryan via phone (816) 454-1313.

Contact Information

Primary practice address
244 E Us Highway 69 Suite 101 Kansas City MO 64119-3184
Fax: (816) 454-5377
Website:
Authorized official contact:
Name: Shewanick, Bryan Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 2009016386 Missouri

Profile Details

NPI number 1205255460
LBN Legal business name Claycomo Dental Group Llc
DBA Doing business as
Authorized official Shewanick, Bryan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2014
Last updated Apr 15th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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