MEDICARE: DR. GAGE JONATHAN WILLIAMS 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	122300000X	Dentist	2021019527	MO

General Provider Information

NPI Number	:	1588231385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAGE JONATHAN WILLIAMS DDS

Provider Business Mailing Address
First Line	:	6301 N OAK TRAFFICWAY
Second Line	:	STE #203
City	:	KANSAS CITY
State	:	MO
Zip	:	64118
Country	:	US
Telephone Number	:	816-922-0123
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 N OAK TRAFFICWAY
Second Line	:	STE #203
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4752
Country	:	US
Telephone Number	:	816-922-0123
Fax Number	:

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

Provider Enumeration Date	:	06/09/2021
Last Update Date	:	02/12/2026

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