Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUIS FERNANDO MISSURA, DMD
ActiveLUIS FERNANDO MISSURA, DMD is a Endodontics healthcare provider located in LEAVENWORTH, Kansas. NPI 1770899205 is currently active in the NPPES registry. Verify at CMS.
Endodontics · LEAVENWORTH, KS
Registration Details
- NPI Number
- 1770899205
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2010 (15.956683861367 yrs)
- Last Updated
- Jul 5, 2019
- Licenses
-
10235 (CO)DEN.00010235 (CO)61501 (KS)
Practice Information
- Address
-
2541 S 4TH STLEAVENWORTH, KS, 660484512Browse KS providers · Browse ZIP 66048
- Phone
- 9133463636
- Fax
- 9133463636
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
- Additional Specialty
- Endodontics
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.