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KINGDOM KIDS DENTAL LLC
NPI 1023864824
Dentist - General Practice in Kansas City, MO

Active since April 24, 2024
3102 PROSPECT AVE, KANSAS CITY, MO 64128(816) 674-9796 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kingdom Kids Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGDOM KIDS DENTAL LLC (NPI 1023864824) is a healthcare organization registered as a general practice in Kansas City, Missouri and active in the NPI registry since April 2024. The organization lists Krista Shehan, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1023864824
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKINGDOM KIDS DENTAL LLC
Location Address3102 PROSPECT AVEKansas City, MO 64128-1559
Mailing Address305 Nw Shagbark StLees Summit, MO 64064-1447 · (816) 674-9796
Phone(816) 674-9796
Organization SubpartNo
Authorized OfficialKrista ShehanVice President Of Operations · (816) 674-9796
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1023864824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
3102 PROSPECT AVE, Kansas City, MO 64128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingdom Kids Dental LLC's NPI number?

The NPI number for Kingdom Kids Dental LLC is 1023864824. It was assigned to this organization in the NPPES registry on April 24, 2024.

Where is Kingdom Kids Dental LLC located?

Kingdom Kids Dental LLC is located at 3102 Prospect Ave, Kansas City, MO 64128. The listed phone number is (816) 674-9796.

What is Kingdom Kids Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kingdom Kids Dental LLC was last updated on April 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.