NPI 1003266966

Lorenzo Kidd Neilsen, DDS

Practitioner Dentist Lees Summit, MO

Practice location

Address: 2033 SW Sterling Dr, Lees Summit, MO 64081-4040
Phone: (801) 891-2043
Fax: (913) 451-2959

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 61219 (KS)

Other Dentist providers in Missouri →

Dentist

Dental Providers Taxonomy 122300000X Licence 2016018480 (MO)

Registry record

NPI: 1003266966
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2016
Record last updated: 7 Aug 2016

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.