Waldo Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2016011725 Issued in MO

Legal business name

WALDO ORAL SURGERY, LLC

Doing business as

Waldo Dental Care

Practice address

8043 Wornall Rd Ste 201
Kansas City, MO 64114-5822

Phone

(816) 214-8339

Fax

(816) 216-1742

NPI assigned

Apr 26, 2018

Last updated

Apr 26, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Alicia A Tamburello

Title

Regional Manager of Billing & Ins

Phone

(816) 830-9030

Specialties & licenses 1

Addresses

Other names 1

• Waldo Dental Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1821586603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8043 WORNALL RD STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145822",
            "telephone_number": "816-214-8339",
            "fax_number": "816-216-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8043 WORNALL RD STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145822",
            "telephone_number": "816-214-8339",
            "fax_number": "816-216-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDO ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "TAMBURELLO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGIONAL MANAGER OF BILLING & INS",
        "authorized_official_telephone_number": "816-830-9030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2016011725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldo Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waldo Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Walden, RN
• Reynel B Walden, FNP-C
• Judith Waldman, DO
• Waldo Dental Care
• Waldo Medical LLC
• Waldo Orthodontics, LLC
• Waldo Pediatric Dentistry (The Smile Spot)
• Waldo Wellness Group PC
• Lance Waldo, MD
• Tammy Louise Waldon

• Oral and Maxillofacial Surgery (Dentist) in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.