MEDICARE: HA HUYNH ROWLAND DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2008015520	MO

General Provider Information

NPI Number	:	1366605057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HA HUYNH ROWLAND DDS

Provider Business Mailing Address
First Line	:	1220 NE BEACON AVE
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64086-8453
Country	:	US
Telephone Number	:	816-878-2688
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 S 7 HWY
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-3204
Country	:	US
Telephone Number	:	816-622-1029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	04/20/2021

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Directions to “ HA HUYNH ROWLAND DDS” Practice Location

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