Azure Dental, LLC
Organization Active NPI Dental Clinic/Center · Saint Joseph, MO
NPI 1619675907 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1619675907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- AZURE DENTAL, LLC
- Practice address
- 420 S Woodbine Rd
Saint Joseph, MO 64506-3468 - Phone
- (816) 232-8788
- NPI assigned
- Feb 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Stacia Weddle
- Title
- Insurance Specialist
- Phone
- (816) 229-4560
Practitioners 3
-
Shaley Ashton Baker, DDS
National Provider Directory
Locations
420 S Woodbine Rd
Saint Joseph, MO 64506
Phone (816) 232-8788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
420 S Woodbine Rd
Saint Joseph, MO 64506-3468
Mailing address
420 S Woodbine Rd
Saint Joseph, MO 64506-3468
Other names
- St. Joseph Advanced Dental Center
Other providers in Saint Joseph, MO
- Adriana Athon
- Kathy L Aubrey
- Audiology Systems Inc
- Aw Operation LLC
- Ashley Ayers
- B-in Motion Chiropractic, Inc
- Norman F Baade
- Narina Yuri Baburyan
- Leslie Ann Bacon
- Brittany Badgett
All providers in Saint Joseph, MO · Dental Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. 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.