Antioch Dental Group in Kansas City - Dentist
Antioch Dental Group - NPI 1699880674
Antioch Dental Group is a Dentist in Kansas City, Missouri. Antioch Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Antioch Dental Group is 1699880674. The last update date is 2020-08-22.
Antioch Dental Group's current location address is 5420 Ne Antioch Road, Kansas City, Missouri. You can contact this provider via phone number 8164529700 and fax number 8164529779. The mailing address for Antioch Dental Group is 5420 Ne Antioch Road, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antioch Dental Group |
|---|---|
| Address | 5420 Ne Antioch Road, Kansas City, Missouri |
| Phone Number | 8164529700 |
| Fax Number | 8164529779 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DENT |
|---|---|
| Authorized Official Name | Bailey E Fred |
| Credentials | DDS |
| Telephone Number | 8164529700 |
NPI Number Detail
| NPI Number | 1699880674 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5420 Ne Antioch Road |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 64119 |
| Phone Number | 8164529700 |
| Fax Number | 8164529779 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 13597 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Antioch Dental Group by the Centers for Medicare & Medicaid Services?
The Antioch Dental Group has been issued the NPI (National Provider Identifier) 1699880674 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Antioch Dental Group is geographically located?
The Antioch Dental Group is physically situated at the following location: 5420 Ne Antioch Road, Kansas City, MO, 64119.
What is Antioch Dental Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Antioch Dental Group is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699880674 to Antioch Dental Group?
The Centers for Medicare & Medicaid Services assigned the 1699880674 to Antioch Dental Group on 2006-08-20.
As of what date were the Antioch Dental Group's details last updated?
The information pertaining to the Antioch Dental Group, including its address, specialty, and other details, was most recently updated on 2020-08-22.