Smileshack Missouri, LLC

NPI #1437819646 in Raytown, Missouri

Provider Information

NPI Number: 1437819646
Entity Type: Organization
Organization Name: Smileshack Missouri, LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Dec 29, 2021
Last Updated: Dec 29, 2021

Practice Location

Address: 9105 E 350
City: Raytown
State: Missouri
ZIP Code: 64133-5718
Phone: (816) 533-6819

Authorized Official

Name: JAMES BALLOU, DDS
Title: OWNER
Phone: (972) 672-9279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

Provider Name	Specialty	City
Zachary T Williams DDS Mcld LLC Part of Zachary T Williams DDS Mcld	Dentist - Orthodontics and Dentofacial Orthopedics	Raytown	AI Deep Dive

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