Premier Dental L.l.c.

NPI #1265985428 in Lee's Summit, Missouri

Provider Information

NPI Number: 1265985428
Entity Type: Organization
Organization Name: Premier Dental L.l.c.
Primary Specialty: Dentist
Enumeration Date: Jul 25, 2016
Last Updated: Jul 25, 2016

Practice Location

Address: 1648 SE BLUE PARKWAY
City: Lee's Summit
State: Missouri
ZIP Code: 64063
Phone: (816) 517-6500

Authorized Official

Name: DR. STEPHAN DENIS CAYE, DDS
Title: DENTIST
Phone: (816) 517-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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