Gladstone Family Dentistry | |
6301 N Oak Trfy Suite 202 Gladstone MO 64118-4759 | |
(816) 452-2420 | |
(816) 777-0836 |
Full Name | Gladstone Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 6301 N Oak Trfy, Gladstone, Missouri |
Authorized Official Name and Position | John Reese Graue (OWNER) |
Authorized Official Contact | 8164522420 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gladstone Family Dentistry 6301 N Oak Trfy Suite 202 Gladstone MO 64118-4759 Ph: (816) 452-2420 | Gladstone Family Dentistry 6301 N Oak Trfy Suite 202 Gladstone MO 64118-4759 Ph: (816) 452-2420 |
NPI Number | 1528347242 |
---|---|
Provider Enumeration Date | 08/11/2011 |
Last Update Date | 08/11/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528347242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | MO2008014151 (Missouri) | Primary |
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