NPI 1023864824
Kingdom Kids Dental LLC
Practice location
- Address
- 3102 Prospect Ave, Kansas City, MO 64128-1559
- Phone
- (816) 674-9796
- Mailing address
- 305 NW Shagbark St, Lees Summit, MO 64064-1447
Authorised official
- Name
- Krista Shehan
- Title
- Vice President of Operations
- Phone
- (816) 674-9796
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1023864824
- Entity type
- Organization
- NPI issued
- 24 Apr 2024
- Record last updated
- 24 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.