Healthcare Provider Details

I. General information

NPI: 1427986074
Provider Name (Legal Business Name): FAMILY DENTAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 N REVERE DR STE 210
KANSAS CITY MO
64151-3923
US

IV. Provider business mailing address

6300 N REVERE DR STE 210
KANSAS CITY MO
64151-3923
US

V. Phone/Fax

Practice location:
  • Phone: 816-505-9767
  • Fax: 816-505-1621
Mailing address:
  • Phone: 816-505-9767
  • Fax: 816-505-1621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DAWN MICHELE FERRARA
Title or Position: OFFICE MANAGER
Credential:
Phone: 816-505-9767