Yogesh Gera

Individual provider Active NPI General Practice Dentistry · Cameron, MO

NPI 1760830798 · NPPES record last updated May 31, 2016

Key facts

NPI
1760830798
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2016017526 (MO)
Practice address
417 Northland Dr
Cameron, MO 64429-1344
Phone
(816) 632-6700
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2016017526MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
R P McGraw DDS LLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2016017526 MO Yes

Addresses

Primary practice location

417 Northland Dr
Cameron, MO 64429-1344

Mailing address

417 Northland Dr
Cameron, MO 64429-1344
Phone (816) 632-6700

Other providers in Cameron, MO

All providers in Cameron, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.