SMILE SAFARI OF MISSOURI


Address: 10016 E 63rd St, Raytown, MO 64133-5102
Phone: 8163138485

SMILE SAFARI OF MISSOURI (NPI# 1538622071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538622071
Entity Type Organization
Organization Name SMILE SAFARI OF MISSOURI
Practice Address 10016 E 63rd St
Raytown
MO 64133-5102
Mailing Address 1709 S Mur Len Rd
Olathe
KS 66062-2611
Practice Telephone 8163138485
Mailing Telephone 9133534001
Enumeration Date 2019-04-11
Last Update Date 2019-04-11
Authorized Official Name BONNIE BRIZENDINE (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 6145638681
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 10016 E 63RD ST
City RAYTOWN
State MO
Zip Code 64133-5102

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376029652 Lauren Chapman Bauer Occupational Therapy Assistant 9540 E 75th Street, Raytown, MO 64133 2018-07-19
1871946160 Brent Jordan Miller Nurse Practitioner 9400 East 350 Highway, Raytown, MO 64133 2016-07-21
1518355957 Sheeba Fazili Counselor 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 2015-01-08
1770998676 Diana Garcia Speech-Language Pathologist 11812 E. 61st. Street, Kansas City, MO 64133 2014-06-30
1326489642 Helping Hands Adult Day Center Clinic/Center 6610 Blue Ridge Blvd., Kansas City, MO 64133 2013-07-15
1346687936 Judith Hope Evans Pharmacist 300 Blue Parkway, Lees Summit, MO 64133 2013-05-23
1912249855 Shanna O'brien Social Worker 8801 E 63rd St Ste 101, Raytown, MO 64133 2013-03-18
1013266550 Lauren Sword Chiropractor 9537 E 57th Terr, Raytown, MO 64133 2012-08-30
1528339207 Olivia Luelf Speech-Language Pathologist 6608 Raytown Rd., Raytown, MO 64133 2012-01-26
1356639074 Michelle Paulette Cruickshank Massage Therapist 6522 Sterling Ave, Raytown, MO 64133 2011-07-15
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609249804 Little Big Smiles, LLC Clinic/Center 9000 E 350, Raytown, MO 64133-5717 2015-11-10
1700029253 Raytown Dental LLC Clinic/Center 9600 E Highway 350, Raytown, MO 64133-6513 2009-04-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306444740 Ressel Family Dentistry LLC Clinic/Center 1 E Broadway Ste A, Columbia, MO 65203-4205 2020-10-16
1467059980 Valudental Independence LLC Clinic/Center 600 E Us Highway 24, Independence, MO 64050-2910 2020-10-07
1144835828 Rem Dds, LLC Clinic/Center 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 2020-09-10
1043824832 Pleasant Dental Care Kc Clinic/Center 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 2020-08-31
1164033122 Dental Depot of Blue Springs Pllc Clinic/Center 1500 S 7 Hwy, Blue Springs, MO 64014-3943 2020-08-13
1184235517 Twin Creeks Family Dentistry LLC Clinic/Center 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 2020-08-10
1003434234 Jason L Allen Dmd LLC Clinic/Center 5147 Daggett Ave, Saint Louis, MO 63110-3009 2020-07-14
1275094864 Itooth Family Dentistry, LLC Clinic/Center 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 2019-03-27
1033677901 C. Hastings, Dds, LLC Clinic/Center 1709 Heritage Hills Dr, Washington, MO 63090-4621 2019-03-08
1144784711 Tmj and Sleep Therapy Centre of Kansas City Clinic/Center 1236 W 103rd St, Kansas City, MO 64114-4513 2019-01-28
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Competitor

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City RAYTOWN
Zip Code 64133

Improve Information

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Dataset Information

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.

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