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CLAYCOMO DENTAL GROUP LLC
NPI 1205255460
Clinic/Center - Dental in Kansas City, MO

Active since April 15, 2014
244 E US HIGHWAY 69, SUITE 101, KANSAS CITY, MO 64119(816) 454-1313(816) 454-5377 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Claycomo Dental Group Llc NPPES

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

CLAYCOMO DENTAL GROUP LLC (NPI 1205255460) is a healthcare organization registered as a dental in Kansas City, Missouri and active in the NPI registry since April 2014. The organization lists Bryan Shewanick, Dentist, as its authorized official.

NPPES Registry Identity

NPI1205255460
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCLAYCOMO DENTAL GROUP LLC
Location Address244 E US HIGHWAY 69, SUITE 101Kansas City, MO 64119-3184
Mailing Address244 E Us Highway 69, Suite 101Kansas City, MO 64119-3184 · (816) 454-1313 · Fax (816) 454-5377
Phone(816) 454-1313
Fax(816) 454-5377
Organization SubpartNo
Authorized OfficialBryan ShewanickDentist · (816) 454-1313
Enumeration DateApril 15, 2014
✔ NPI 1205255460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MO · 2009016386
244 E US HIGHWAY 69, Kansas City, MO 64119
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NOELLE PETIT VAN METER B.S., D.C.
Chiropractor
244 E US HIGHWAY 69, SUITE 202
KANSAS CITY, MO 64119
Clay County (816) 453-1198
JAMES B THEILEN DDS &JERRY E THEILEN DDS PC
Dentist
244 E US HIGHWAY 69, SUITE 101
CLAYCOMO, MO 64119
Clay County (816) 454-1313
ADVANCED HEALTH CHIROPRACTIC, INC
Chiropractor
244 E US HIGHWAY 69, #202
KANSAS CITY, MO 64119
Clay County (816) 453-1198
CLAYCOMO DENTAL LLC
Clinic/Center (Dental)
244 E US HIGHWAY 69, SUITE 101
KANSAS CITY, MO 64119
Clay County (816) 454-1313

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 Claycomo Dental Group LLC's NPI number?

The NPI number for Claycomo Dental Group LLC is 1205255460. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Claycomo Dental Group LLC located?

Claycomo Dental Group LLC is located at 244 E Us Highway 69 Suite 101, Kansas City, MO 64119. The listed phone number is (816) 454-1313.

What is Claycomo Dental Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Claycomo Dental Group LLC was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.