Mary Jane Suppasansathorn in Raytown - Dentist
Mary Jane Suppasansathorn - NPI 1013076934
Mary Jane Suppasansathorn is a Dentist in Raytown, Missouri. Mary Jane Suppasansathorn practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mary Jane Suppasansathorn is 1013076934. The last update date is 2007-07-08.
Mary Jane Suppasansathorn's current location address is 7316 Raytown Road, Raytown, Missouri. You can contact this provider via phone number 8163530140. The mailing address for Mary Jane Suppasansathorn is 7316 Raytown Road, Raytown, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Suppasansathorn |
|---|---|
| Address | 7316 Raytown Road, Raytown, Missouri |
| Phone Number | 8163530140 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1013076934 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7316 Raytown Road |
|---|---|
| City | Raytown |
| State | Missouri (MO) |
| Post Code | 64133 |
| Phone Number | 8163530140 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14840 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Jane Suppasansathorn?
The Mary Jane Suppasansathorn has been issued the NPI (National Provider Identifier) 1013076934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mary Jane Suppasansathorn's facilities are situated?
The facilities of Mary Jane Suppasansathorn are physically located at the following address: 7316 Raytown Road, Raytown, MO, 64133.
What is Mary Jane Suppasansathorn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Jane Suppasansathorn's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did Mary Jane Suppasansathorn receive its 1013076934 assignment?
The Mary Jane Suppasansathorn was assigned its 1013076934 on 2006-12-06, which is the date when this unique identifier was issued to the organization.
When was the information related to Mary Jane Suppasansathorn most recently updated or refreshed?
The details pertaining to the Mary Jane Suppasansathorn, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.