Cass County Dental Clinic, LLC

Organization Active NPI Public Health Dentistry · Belton, MO

NPI 1134422280 · NPPES record last updated Dec 13, 2010

Key facts

NPI
1134422280
Entity type
Organization (NPI type 2)
Primary specialty
Public Health Dentistry 1223D0001X
Legal business name
CASS COUNTY DENTAL CLINIC, LLC
Practice address
802 E Walnut St
Belton, MO 64012-2544
Phone
(816) 276-4955
Fax
(816) 276-4928
NPI assigned
Dec 13, 2010
Organization subpart
Yes
Parent organization (as reported)
RESEARCH BELTON FOUNDATION SOLE M

Authorized official

Name
Mrs. Cynthia Randazzo
Title
President/Ceo
Phone
(816) 276-4218

National Provider Directory

Locations

802 E Walnut St
Belton, MO 64012
Phone (816) 322-7600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223D0001X Yes

Addresses

Primary practice location

802 E Walnut St
Belton, MO 64012-2544

Mailing address

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4955

Other providers in Belton, MO

All providers in Belton, MO · Public Health Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.