LEE PLAZA DENTAL LLC (NPI# 1568097236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568097236 |
Entity Type | Organization |
Organization Name | LEE PLAZA DENTAL LLC |
Practice Address |
4320 Wornall Rd Ste 446 Kansas City MO 64111-3235 |
Practice Telephone | 8163760851 |
Mailing Telephone | 8163760851 |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-03-03 |
Authorized Official Name | DR. WING MANN LEE (MANAGER AND SOLE MEMBER) |
Authorized Official Telephone | 6172012645 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
LEE PLAZA DENTAL LLC | Doing Business As Name - Organization |
Street Address |
4320 WORNALL RD STE 446 |
City | KANSAS CITY |
State | MO |
Zip Code | 64111-3235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568613362 | Wing Mann Lee | Dentist | 4320 Wornall Rd Ste 446, Kansas City, MO 64111-3235 | 2008-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
Find all providers in zip 64111 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
1144784711 | Tmj and Sleep Therapy Centre of Kansas City | Clinic/Center | 1236 W 103rd St, Kansas City, MO 64114-4513 | 2019-01-28 |
1891201885 | Darren M Perry | Clinic/Center | 800 W 47th St Ste 515, Kansas City, MO 64112-1247 | 2017-12-28 |
1356850473 | Sih Mokan, P.C. | Clinic/Center | 803 W 48th St Apt 404, Kansas City, MO 64112-1859 | 2017-09-20 |
1942733571 | Pediatric Smiles, LLC | Clinic/Center | 8672 Ne Flintlock Rd, Kansas City, MO 64157-1087 | 2017-04-11 |
1619583895 | Red Bridge Family Dental | Clinic/Center | 400 E Red Bridge Rd Ste 321, Kansas City, MO 64131-4031 | 2020-09-22 |
1710599287 | River Market Dental LLC | Clinic/Center | 317 Delaware St, Kansas City, MO 64105-1215 | 2020-08-17 |
1760093892 | Westport Family Dental, LLC | Clinic/Center | 104 Archibald St, Kansas City, MO 64111-2230 | 2020-08-12 |
1275141970 | Murphy and Associates Dental, LLP | Clinic/Center | 411 Nichols Rd Ste 200, Kansas City, MO 64112-2015 | 2020-07-19 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64111 |
Please comment or provide details below to improve the information on LEE PLAZA DENTAL LLC.
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.