WALDO ORAL SURGERY, LLC (NPI# 1821586603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821586603 |
| Entity Type | Organization |
| Organization Name | WALDO ORAL SURGERY, LLC |
| Other Organization Name | WALDO DENTAL CARE |
| Practice Address |
8043 Wornall Rd Ste 201 Kansas City MO 64114-5822 |
| Practice Telephone | 8162148339 |
| Practice Fax Number | 8162161742 |
| Mailing Telephone | 8162148339 |
| Mailing Fax Number | 8162161742 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | MRS. ALICIA A TAMBURELLO (REGIONAL MANAGER OF BILLING & INS) |
| Authorized Official Telephone | 8168309030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2016011725 | MO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Waldo Dental Care | Doing Business As Name - Organization |
| Street Address |
8043 WORNALL RD STE 201 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255620324 | Best Smiles LLC | Dentist | 8043 Wornall Rd Ste 201, Kansas City, MO 64114-5822 | 2011-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202943 | Kansas City Oral Surgery & Implant Center | Dentist | 8771 N Platte Purchase Dr, Kansas City, MO 64155-1829 | 2020-07-15 |
| 1437531209 | Federico Castillo Iv | Dentist | 2521 Cherry St, Kansas City, MO 64108-2750 | 2015-06-29 |
| 1114347861 | Zachary L Brown | Dentist | 4700 Belleview Ave Ste L10, Kansas City, MO 64112-1360 | 2014-04-21 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| 1356502041 | Kasey Lawrence Call | Dentist | 4700 Bellview, Suite L10, Kansas City, MO 64112 | 2008-06-24 |
| 1164639118 | John Bellome | Dentist | 650 East 25th St, Umkc School of Dentistry, Kansas City, MO 64108 | 2007-05-17 |
| 1003917865 | Burk Ennis Allen Pannell & Markle Oral & Maxillofacial Surgeons PC | Dentist | 1010 Carondelet Dr., Suite 316, Kansas City, MO 64114 | 2006-09-26 |
| 1194745620 | Facial Surgery Group PC | Dentist | 4700 Belleview, Ste L 10, Kansas City, MO 64112-1360 | 2006-07-20 |
| 1497789036 | Patrick Brett Moore | Dentist | 6340 N Chatham Ave, Kansas City, MO 64151-2473 | 2006-07-10 |
| 1003889650 | Michael W Lowe | Dentist | 5707 Nw 64th Ter, Kansas City, MO 64151-2382 | 2006-02-13 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.