Unknown Individual – General Practice Dentistry, NPI 1063456994
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
113, Blue Jay Drive, Limerick, Liberty County, Georgia, 31320, United States
SUITE 202
LIBERTY, MO 640681997
Phone: (816) 792-4080
Fax: (816) 792-4902
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64068)
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