Wisdom Dental Group Excelsior Springs LLC

NPI #1366317653 in Excelsior Springs, Missouri

Provider Information

NPI Number: 1366317653
Entity Type: Organization
Organization Name: Wisdom Dental Group Excelsior Springs LLC
Primary Specialty: Dentist
Enumeration Date: Oct 7, 2025
Last Updated: Oct 7, 2025

Practice Location

Address: 197 S MCCLEARY RD
City: Excelsior Springs
State: Missouri
ZIP Code: 64024
Phone: (816) 573-0077

Authorized Official

Name: JONAH FOUTZ
Title: MEMBER
Phone: (816) 573-0077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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