Summit Pediatric Dentistry is a Pediatric Dental Clinic in Lees Summit, Missouri. It is located at 24 Nw Chipman Rd Ste B, Lees Summit, MO and its contact number is 816-256-0073. The authorized person for Summit Pediatric Dentistry is Moncy Mathew
who is Owner/dentist of the clinic and their contact number is 816-256-0073. The primary license number for Summit Pediatric Dentistry is 2006037222 (Pediatric Dentistry) in Missouri. Summit Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Summit Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Moncy Mathew
Position:
Owner/dentist
Contact Number:
816-256-0073
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Summit Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1053848374
NPI Enumeration Date:
17 May, 2017
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Summit Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
2006037222
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1841474293
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Summit Pediatric Dentistry at 24 Nw Chipman Rd Ste B, Lees Summit, Missouri or can call to book an appointment on 816-256-0073. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.