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

INDEPENDENCE AVENUE DENTAL LLC

Active Organization

Dental Clinic · INDEPENDENCE, MO

Registration Details

NPI Number
1396982468
Provider Type
Organization
NPI Issued
Jan 12, 2009 (17.296302691526 yrs)
Last Updated
Jun 11, 2020

Practice Information

Address
1638 WEST 24 HIGHWAY
INDEPENDENCE, MO, 64050
Browse MO providers · Browse ZIP 64050
Phone
8164616911
Fax
8164613675
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.