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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY JANE SUPPASANSATHORN, DDS

Active

MARY JANE SUPPASANSATHORN, DDS is a Dentist healthcare provider located in RAYTOWN, Missouri. NPI 1013076934 is currently active in the NPPES registry. Verify at CMS.

Dentist · RAYTOWN, MO

Registration Details

NPI Number
1013076934
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2006 (19.677657052086 yrs)
Last Updated
Jul 8, 2007
License
014840 (MO)

Practice Information

Address
7316 RAYTOWN ROAD
RAYTOWN, MO, 64133
Browse MO providers · Browse ZIP 64133
Phone
8163530140
Primary Specialty
Dentist
122300000X

Other Dentist Providers in RAYTOWN, MO

Name Credential NPI
DR. TIM GOODHEART D.D.S. 1679586887
DR. EDWARD RAY OMAN DDS 1376645523
DR. MARK W MELSON DDS 1790840106
DR. GARY L. SMITH D.D.S. 1578614426
DR. DANIEL JOSHUA TOKAR DDS 1932303393
ROBERT M DAVIS DDS 1487858866
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.