GLADSTONE FAMILY DENTAL GROUP.P.C. & ASSOCIATES (NPI# 1518178300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518178300 |
| Entity Type | Organization |
| Organization Name | GLADSTONE FAMILY DENTAL GROUP.P.C. & ASSOCIATES |
| Practice Address |
2109 Ne 72nd St Gladstone MO 64118-2304 |
| Practice Telephone | 8164523420 |
| Mailing Telephone | 8164523420 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GREGORY W DALE (OWNER) |
| Authorized Official Telephone | 8164523420 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
========= | MO | Dental Providers |
| Street Address |
2109 NE 72ND ST |
| City | GLADSTONE |
| State | MO |
| Zip Code | 64118-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649341017 | Thomas Frederick Barton | Dentist | 2109 Ne 72nd St, Suite 102, Gladstone, MO 64118 | 2006-11-10 |
| 1194115865 | Jackson Family Dental Gladstone LLC | Dentist | 2109 Ne 72nd St, Ste 104, Gladstone, MO 64118-2304 | 2015-02-02 |
| 1063639425 | Gregory W Dale | Dentist | 2109 Ne 72nd St, Gladstone, MO 64118-2304 | 2007-04-19 |
| 1679697395 | David Scott Platt | Dentist | 2109 Ne 72nd St, Suite 101, Gladstone, MO 64118-2304 | 2007-03-19 |
| 1235295080 | James H. Mutti | Dentist | 2109 Ne 72nd St, Ste. 103, Gladstone, MO 64118 | 2006-12-28 |
| 1093824724 | Benjamin Lee Westman | Dentist | 2109 Ne 72nd St, Gladstone, MO 64118-2304 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955611 | Haley Bogers | Speech-Language Pathologist | 6910 N Homes Street, 200, Gladstone, MO 64118 | 2020-09-03 |
| 1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
| 1407339179 | Natalie Klima Rinehart | Massage Therapist | 5545 North Oak Traffic Way, Kansas City, MO 64118 | 2018-09-10 |
| 1255823670 | Giselle Salioa | Physical Therapist | Maple Wood Care Center, 724 Ne 79th Terrace, Kansas City, MO 64118 | 2018-06-01 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1174915649 | Angela Nap | Behavioral Analyst | 5738 N Broadway St, Kansas City, MO 64118 | 2015-02-20 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
| 1750607438 | Anna Scire | Physical Therapy Assistant | 811 Ne 81st St, Kansas City, MO 64118 | 2010-04-20 |
| 1376870865 | Summit Behavioral Services, LLC | Community/Behavioral Health | 1460 Nw Vivion Rd, Kansas City, MO 64118 | 2009-11-04 |
| Find all providers in zip 64118 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
| 1033671664 | Megan Jenisch | Dentist | 5601 Ne Antioch Rd Ste 5, Gladstone, MO 64119-2375 | 2019-04-02 |
| 1043623044 | Alan C Fashion | Dentist | 2727 Ne Brooktree Ln, Gladstone, MO 64119-1833 | 2014-06-06 |
| 1104197060 | Scott Timothy Melton | Dentist | 6000 N Oak Trfy Ste 304, Gladstone, MO 64118-5176 | 2012-01-24 |
| 1215235148 | Dennis Thomas Adair | Dentist | 15 82nd Dr, Suite 240, Gladstone, OR 97027-2541 | 2011-03-01 |
| 1104088756 | Dennis T. Adair D.m.d., P.C. | Dentist | 15 82nd Dr Ste 240, Gladstone, OR 97027-2558 | 2008-06-25 |
| 1033379581 | John Reese Graue II | Dentist | 6301 N Oak Trfy Ste 202, Gladstone, MO 64118-4752 | 2008-06-09 |
| 1194912949 | Alan C Fashion, D.d.s., PC | Dentist | 2727 Ne Brooktree Lane, Gladstone, MO 64119-1833 | 2007-09-26 |
| 1427187764 | Bernard Dean Bos | Dentist | 19230 Mcloughlin Blvd, Gladstone, OR 97027-2625 | 2007-03-04 |
| 1821135351 | Stephan Ahmad Ameryun | Dentist | 200 Nw 72nd St, Gladstone, MO 64118-1820 | 2007-02-01 |
| Find all providers in GLADSTONE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.