PEDIATRIC DENTAL SPECIALISTS, PA – NPI #1811011018
Clinic/Center

PEDIATRIC DENTAL SPECIALISTS, PA is an AHC clinic located in LEE'S SUMMIT, MO. NPPES has assigned the NPI number 1811011018 to PEDIATRIC DENTAL SPECIALISTS, PA on March 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 18 years ago on Mar 10, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC DENTAL SPECIALISTS, PA below.

NPI Profile for
PEDIATRIC DENTAL SPECIALISTS, PA

NPI Number
1811011018
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC DENTAL SPECIALISTS, PA
Primary location
3355 NE RALPH POWELL ROAD
LEE'S SUMMIT, MO 64064
Phone: (816) 525-5447 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DONNA THOMAS
OWNER
Phone: (816) 525-5447
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 MO 015672

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.