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NPI Code Detail

MEDICARE: MISS KRISTY LIND MARKER DDS, MS

MEDICARE:  MISS KRISTY LIND MARKER  DDS, MS
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
11223E0200XEndodontics2017021308MO
21223E0200XEndodontics08457IA
31223E0200XEndodontics60002KS

General Provider Information

NPI Number : 1871790618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KRISTY LIND MARKER DDS, MS
Provider Business Mailing Address
First Line : 4950 CENTRAL ST. #205
Second Line :
City : KANSAS CITY
State : MO
Zip : 64112
Country : US
Telephone Number : 785-230-3454
Fax Number :
Provider Business Practice Location Address
First Line : 1731 E NORTH AVE
Second Line : BELTON MODERN DENTISTRY
City : BELTON
State : MO
Zip : 64012
Country : US
Telephone Number : 785-215-8441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 07/21/2022

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Directions to “ MISS KRISTY LIND MARKER DDS, MS” Practice Location

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