Odessa Pediatric Dental Care
Organization Active NPI Pediatric Dentistry · Odessa, MO
NPI 1356103808 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1356103808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- ODESSA PEDIATRIC DENTAL CARE
- Practice address
- 406 N 4TH St Ste a
Odessa, MO 64076-1680 - Phone
- (816) 000-0000
- NPI assigned
- Jan 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Stacia Weddle
- Title
- Insurance Department Manager
- Phone
- (816) 229-4560
National Provider Directory
Locations
406 N 4th St
Ste A
Odessa, MO 64076
Phone (816) 500-2774
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
406 N 4TH St Ste a
Odessa, MO 64076-1680
Mailing address
406 N 4TH St Ste a
Odessa, MO 64076-1680
Other names
- Treetop Pediatric Dentistry Odessa
Other providers in Odessa, MO
- Odessa Family Dental, LLC
- Odessa Family Pharmacy
- Odessa Fire & Rescue Protection District
- Odessa Health Care Center, L.L.C.
- Odessa Medical Clinic, PC
- Odessa SNF Opco LLC
- Emmaline Owen
- Carrie Parrish
- Linda Lou Proctor
- Kayla Jo Rains
All providers in Odessa, MO · Pediatric Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.