TRUMAN VILLAGE FAMILY DENTAL LLC (NPI# 1184088395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184088395 |
| Entity Type | Organization |
| Organization Name | TRUMAN VILLAGE FAMILY DENTAL LLC |
| Practice Address |
514 S Noland Rd Suite 120 Independence MO 64050-3976 |
| Practice Telephone | 8168365520 |
| Practice Fax Number | 8168365043 |
| Mailing Telephone | 8168365520 |
| Mailing Fax Number | 8168365043 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | BRYAN PACE (BUSINESS MANAGER) |
| Authorized Official Telephone | 8162267005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
MO | Dental Providers |
| Street Address |
514 S NOLAND RD SUITE 120 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64050-3976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699888594 | John Darrell Newman | Dentist | 514 S Noland Rd, Ste 140, Independence, MO 64050 | 2006-08-16 |
| 1134729767 | Ryan William Ochsner | Dentist | 514 S Noland Rd, Independence, MO 64050-3976 | 2020-11-01 |
| 1821335134 | Charles E Mcgrath Do PC | Clinic/Center | 514 S Noland Rd, Suite 130, Independence, MO 64050-3976 | 2013-01-07 |
| 1801912043 | Aurora Rainbow Enterprises Inc | Chiropractor | 514 S Noland Rd, Independence, MO 64050-3969 | 2007-03-21 |
| 1053455675 | Charles E Mc Grath D.o. P.C. | Family Medicine | 514 S Noland Rd, Suite 130, Independence, MO 64050-3969 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841698024 | Joshonna Price | Occupational Therapy Assistant | 810 E Walnut, Independence, MO 64050 | 2014-12-19 |
| 1003151770 | Melinda Stegner | Registered Nurse | 3445 South 291 Hwy, Ste 300, Independence, MO 64050 | 2012-12-06 |
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| 1568790749 | Charity Faith Morris | Case Manager/Care Coordinator | 314 E Pacific Avenue, Independence, MO 64050 | 2009-11-25 |
| 1225276090 | Best Smile, LLC | Dentist | 651 E 24 Hwy, Independence, MO 64050 | 2009-02-01 |
| 1396982468 | Independence Avenue Dental LLC | Clinic/Center | 1638 West 24 Highway, Independence, MO 64050 | 2009-01-12 |
| 1366640914 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1215 W. Truman Rd, Independence, MO 64050 | 2007-07-05 |
| 1992871883 | Stephen Ervin Dorsch | Family Medicine | 1638 W 24 Hwy, Independence, MO 64050 | 2006-11-24 |
| 1831284801 | Ronald Eugene Jennings | Dentist | 514 S Noland Road, Noland Medical Plaza Suite 120, Independence, MO 64050 | 2006-10-04 |
| 1841393782 | Carmel Hills Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 810 East Walnut, Independence, MO 64050 | 2006-09-06 |
| Find all providers in zip 64050 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946523 | Thomas M Bilski Dds and Associates Inc | Dentist | 6527 Brecksville Rd Ste B, Independence, OH 44131-4859 | 2018-09-17 |
| 1790276442 | Julia Suzanne Jenkins | Dentist | 2052 Harris Pike # 54, Independence, KY 41051-7783 | 2018-05-29 |
| 1760920805 | Mortenson Family Dental Center - Independence, LLC | Dentist | 2052 Harris Pike, Independence, KY 41051-7783 | 2017-02-09 |
| 1659768596 | Terry Charles Williams | Dentist | 17008 E 45th St S, Independence, MO 64055-7630 | 2015-04-17 |
| 1154737658 | Devishkumar H Patel | Dentist | 2320 W Main St, Independence, KS 67301-8435 | 2014-07-03 |
| 1609182286 | Jeffrey David Peter | Dentist | 2025 Declaration Dr Ste B, Independence, KY 41051-7983 | 2010-08-20 |
| 1831427731 | Michael James Beauregard | Dentist | 11105 E Winner Rd, Independence, MO 64052-3837 | 2009-12-03 |
| 1679733265 | Porter James Clark | Dentist | 422 E Main St, Independence, KS 67301-3716 | 2008-06-17 |
| 1447458773 | Danny Nakhla | Dentist | 5302 Madison Pike, Independence, KY 41051-8652 | 2007-07-09 |
| 1609071067 | Carl James Stefaniak | Dentist | 6533 Brecksville Road, Suite A, Independence, OH 44131-4897 | 2007-06-17 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64050 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.