BRYAN WATANABE DDS LIBERTY DENTAL GROUP PC (NPI# 1780056135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780056135 |
| Entity Type | Organization |
| Organization Name | BRYAN WATANABE DDS LIBERTY DENTAL GROUP PC |
| Other Organization Name | LIBERTY OAKS DENTAL GROUP |
| Practice Address |
8291 N Booth Avenue Kansas City MO 64158 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 8167282979 |
| Practice Fax Number | 8164153286 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | DR. BRYAN K WATANABE (OWNER) |
| Authorized Official Telephone | 8167282979 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Liberty Oaks Dental Group | Doing Business As Name - Organization |
| Street Address |
8291 N BOOTH AVENUE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1083135008 | Garrett Leland Coffelt | Physical Therapist | 9223 Ne 152 Highway, Kansas City, MO 64158 | 2017-06-29 |
| 1336500537 | Danielle Leeper | Dentist | 9101 Ne 82nd Ter, Kansas City, MO 64158 | 2016-03-15 |
| 1235551771 | Julie G. Vantasell | Nurse Practitioner | 9151 Ne 81st, Ste 105, Kansas City, MO 64158 | 2014-01-17 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| 1558659920 | Massage Heights Shoal Creek | Health Maintenance Organization | 9225 Ne 152 Hwy, Liberty, MO 64158 | 2011-07-19 |
| 1245427954 | Maureen Graham Giraldo | Social Worker | 9601 Ne Barry Rd Ste 220, Kansas City, MO 64158 | 2007-09-26 |
| 1861695090 | D. Scott Thomas | Dentist | 9051 Ne 81st Terrace, Suite 220, Kansas City, MO 64158 | 2007-06-06 |
| 1538262688 | Richard Bradley Gaik | Dentist | 8568 N Church Rd, Kansas City, MO 64158 | 2006-09-06 |
| 1598878779 | Michael Laird Bledsoe | Preventive Medicine | 8880 Ne 82nd Terrace, Mosaic Life Care, Kansas City, MO 64158 | 2006-08-15 |
| Find all providers in zip 64158 | ||||
| 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 |
|---|---|---|---|---|
| 1104434463 | Vaidehi Trivedi | Dentist | 10818 Parallel Pkwy # Ks, Kansas City, KS 66109-3649 | 2020-07-22 |
| 1063052777 | Threemondds LLC | Dentist | 7524 State Ave, Kansas City, KS 66112-2816 | 2020-01-10 |
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1134772940 | Alicia Finney | Dentist | 912 E 29th St Apt 1e, Kansas City, MO 64109-1167 | 2019-07-20 |
| 1790345155 | Dina Abdul Musheinesh | Dentist | 8043 Wornall Rd Ste 203, Kansas City, MO 64114-5822 | 2019-06-18 |
| 1083177695 | Connie Lou White | Dentist | 650 East 25th Street, School of Dentistry, Kansas City, MO 64108-2784 | 2019-04-10 |
| 1649763962 | Anna Irene Jobe | Dentist | 10203 Leavenworth Rd, Kansas City, KS 66109-3005 | 2018-06-11 |
| 1407348238 | Eilise Marie O'connor | Dentist | 411 Nichols Rd Ste 200, Kansas City, MO 64112-2015 | 2018-06-06 |
| 1588182778 | Gladstone Dental Michael Gioia Dds PC | Dentist | 5106 Ne Antioch Rd, Kansas City, MO 64119-2502 | 2017-09-07 |
| 1548790629 | Tyler Koehn | Dentist | 5901 Nw 63rd Ter Ste 150, Kansas City, MO 64151-3602 | 2017-06-12 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64158 |
Please comment or provide details below to improve the information on BRYAN WATANABE DDS LIBERTY DENTAL GROUP PC.
| 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.