Tonganoxie Family Dentistry

NPI #1053655274 in Gladstone, Missouri

Provider Information

NPI Number: 1053655274
Entity Type: Organization
Organization Name: Tonganoxie Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 6725 N PARK AVE
City: Gladstone
State: Missouri
ZIP Code: 64118-3783
Phone: (816) 813-7917

Authorized Official

Name: DR. DAVID H JAEGER, DDS
Title: DENTIST
Phone: (816) 813-7917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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