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FACIAL SPECTRUM INC
NPI 1699861906
Dentist - Oral and Maxillofacial Surgery in Lees Summit, MO

Active since October 05, 2006CLIA 26D1051932 · Waiver
1208 NE WINDSOR DR, LEES SUMMIT, MO 64086(816) 524-4334(816) 524-4399 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Facial Spectrum Inc NPPES

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

FACIAL SPECTRUM INC (NPI 1699861906) is a healthcare organization registered as an oral and maxillofacial surgery in Lees Summit, Missouri and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Steven J Prstojevich, Owner/surgeon, as its authorized official.

NPPES Registry Identity

NPI1699861906
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFACIAL SPECTRUM INC
Location Address1208 NE WINDSOR DRLees Summit, MO 64086-5594
Mailing Address1208 Ne Windsor DrLees Summit, MO 64086-5594 · (816) 524-4334 · Fax (816) 524-4399
Phone(816) 524-4334
Fax(816) 524-4399
Organization SubpartNo
Authorized OfficialSteven J PrstojevichOwner/surgeon · (816) 524-4334
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 31, 2007
✔ NPI 1699861906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1208 NE WINDSOR DR, Lees Summit, MO 64086
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1051932

Facial Spectrum Inc · Lees Summit, MO
Active · expires Mar 13, 2028
CLIA Number26D1051932
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorSteven J. Prstojevich
Laboratory Phone(816) 524-4334
Laboratory LocationFacial Spectrum Inc1208 NE Windsor Drive, Lees Summit, MO 64086
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MR. MATTHEW R HLAVACEK MD, DDS
Oral & Maxillofacial Surgery
1208 NE WINDSOR DR
LEES SUMMIT, MO 64086
Jackson County (816) 524-4334
DR. STEVEN J PRSTOJEVICH MD DDS
Dentist (Oral and Maxillofacial Surgery)
1208 NE WINDSOR DR
LEES SUMMIT, MO 64086
Jackson County (816) 524-4334

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 Facial Spectrum Inc's NPI number?

The NPI number for Facial Spectrum Inc is 1699861906. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Facial Spectrum Inc located?

Facial Spectrum Inc is located at 1208 NE Windsor Dr, Lees Summit, MO 64086. The listed phone number is (816) 524-4334.

What is Facial Spectrum Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does Facial Spectrum Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1051932) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Facial Spectrum Inc was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.