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

ETHERIDGE COMPLETE DENTISTRY LLC

Active Organization

ETHERIDGE COMPLETE DENTISTRY LLC is a General Dentistry organization located in LEES SUMMIT, Missouri. NPI 1902378722 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LEES SUMMIT, MO

Registration Details

NPI Number
1902378722
Provider Type
Organization
NPI Issued
Dec 18, 2018 (7.6553458429805 yrs)
Last Updated
Dec 18, 2018

Practice Information

Address
818 NW PARK LN
LEES SUMMIT, MO, 640631880
Browse MO providers · Browse ZIP 64063
Phone
8165251655
Fax
8165247800
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in LEES SUMMIT, MO

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.