The Indian Springs Dental Clinic, Llc

LBN: The Indian Springs Dental Clinic, Llc
The Indian Springs Dental Clinic, Llc is an health care organization with primary practice located at 4655 State Ave , Kansas City KS 66102-3603. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. The Indian Springs Dental Clinic, Llc can be contacted via phone (913) 287-7977, or through Stump, Jenell via phone (913) 287-7977.

Contact Information

Primary practice address
4655 State Ave Kansas City KS 66102-3603
Phone: (913) 287-7977
Fax: (913) 287-5022
Website:
Map and Directions
Authorized official contact:
Name: Stump, Jenell
Phone: (913) 287-7977

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1144207705
LBN Legal business name The Indian Springs Dental Clinic, Llc
DBA Doing business as
Authorized official Stump, Jenell
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2005
Last updated Mar 26th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144207705 NPPES
Missouri MEDICAID 1144207705
Missouri MEDICAID 200383490A

Popular Providers