Reavley, Brenton A

Reavley, Brenton A is an individual health care provider with primary practice located at 4151 N Mulberry Dr Suite 230, Kansas City MO 64116-4447. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Reavley, Brenton A can be contacted via phone (816) 326-8204.

Contact Information

Primary practice address
4151 N Mulberry Dr Suite 230 Kansas City MO 64116-4447
Phone: (816) 326-8204
Fax: (816) 326-8431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2007014548 Missouri
Dental Providers / Endodontics 1223E0200X 2007014548 Missouri

Profile Details

NPI number 1780810853
LBN Legal business name Reavley, Brenton A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2009
Last updated Jul 20th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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