Citadel Dental Group Kc Mo

LBN: James L. Mccreary Dds
Citadel Dental Group Kc Mo is an health care organization with primary practice located at 1734 E 63Rd Street Suite #401, Kansas City MO 64110. The organization recently has only one registered license in Dental Providers / Dental Assistant, which is considered as the primary health care specialty. James L. Mccreary Dds can be contacted via phone (816) 523-4444, or through Mccreary, James Larry via phone (816) 523-4444.

Contact Information

Primary practice address
1734 E 63Rd Street Suite #401 Kansas City MO 64110
Phone: (816) 523-4444
Fax: (816) 523-2689
Website:
Map and Directions
Authorized official contact:
Name: Mccreary, James Larry Doctor of Dental Surgery (DDS)
Phone: (816) 523-4444

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 11801 Missouri
Dental Providers / Dental Assistant 126800000X 2006023201 Missouri

Profile Details

NPI number 1407127004
LBN Legal business name James L. Mccreary Dds
DBA Doing business as Citadel Dental Group Kc Mo
Authorized official Mccreary, James Larry Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2012
Last updated Jan 13th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407127004 NPPES
Missouri MEDICAID 000548

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