FACIAL SPECTRUM INC (NPI# 1699861906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699861906 |
| Entity Type | Organization |
| Organization Name | FACIAL SPECTRUM INC |
| Practice Address |
1208 Ne Windsor Dr Lees Summit MO 64086-5594 |
| Practice Telephone | 8165244334 |
| Practice Fax Number | 8165244399 |
| Mailing Telephone | 8165244334 |
| Mailing Fax Number | 8165244399 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-31 |
| Authorized Official Name | DR. STEVEN J PRSTOJEVICH (OWNER/SURGEON) |
| Authorized Official Telephone | 8165244334 |
| Authorized Official Credential | MD DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
1208 NE WINDSOR DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285613240 | Matthew R Hlavacek | Dentist | 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-01-10 |
| 1588626659 | Steven J Prstojevich | Dentist | 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403722 | Kansas City Facial and Oral Surgery, LLC | Dentist | 2931 Ne Independence Ave., Lees Summit, MO 64064-6406 | 2020-06-26 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| 1457469355 | Randall E Stone | Dentist | 200 Se Douglas, Ste #100, Lees Summit, MO 64063 | 2006-08-29 |
| 1447206552 | Cesar E Solano | Dentist | 708 Nw Commerce Dr, Lees Summit, MO 64086-5710 | 2006-05-26 |
| 1609134634 | C E Solano Dmd, PC | Dentist | 708 Nw Commerce Dr, Lees Summit, MO 64086-5710 | 2012-04-27 |
| 1730460270 | Lakewood Oral and Maxillofacial Surgery Specialists | Dentist | 3600 Ne Ralph Powell Rd, Suite D, Lees Summit, MO 64064-2369 | 2011-08-29 |
| 1629244959 | Christopher John Haggerty | Dentist | 3600 Ne Ralph Powell Rd, Suite D, Lees Summit, MO 64064-2369 | 2008-05-06 |
| 1588626659 | Steven J Prstojevich | Dentist | 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202943 | Kansas City Oral Surgery & Implant Center | Dentist | 8771 N Platte Purchase Dr, Kansas City, MO 64155-1829 | 2020-07-15 |
| 1134767866 | Courtney Ethington | Dentist | 4 West Dr Ste 170, Chesterfield, MO 63017-1793 | 2019-12-12 |
| 1184130528 | Archway Oral Surgery and Dental Implants | Dentist | 16 Hampton Village Plz Ste 200, Saint Louis, MO 63109-2128 | 2017-12-21 |
| 1780120410 | Ervin Simmons Iv Dmd LLC | Dentist | 3220 Parker Rd, Florissant, MO 63033-3733 | 2017-01-19 |
| 1437531209 | Federico Castillo Iv | Dentist | 2521 Cherry St, Kansas City, MO 64108-2750 | 2015-06-29 |
| 1114347861 | Zachary L Brown | Dentist | 4700 Belleview Ave Ste L10, Kansas City, MO 64112-1360 | 2014-04-21 |
| 1265868863 | Gregory Pernoud | Dentist | 1204 E State Route 72, Rolla, MO 65401-3938 | 2013-09-16 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| 1114217585 | Southeast Missouri Oral & Maxillofacial Surgery | Dentist | 1325 N Mount Auburn Rd, Cape Girardeau, MO 63701-1722 | 2011-04-19 |
| 1164650883 | Maryann L Udy | Dentist | 5551 Winghaven Blvd., Ste 210, O'fallon, MO 63368 | 2009-07-01 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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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.