Healthcare Provider Details

I. General information

NPI: 1679185045
Provider Name (Legal Business Name): DANIEL G STAMOS DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 N OAK TRFY STE 201
KANSAS CITY MO
64118-4690
US

IV. Provider business mailing address

5400 N OAK TRFY STE 201
KANSAS CITY MO
64118-4690
US

V. Phone/Fax

Practice location:
  • Phone: 816-452-0900
  • Fax: 816-452-1923
Mailing address:
  • Phone: 816-452-0900
  • Fax: 816-452-1923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY ANN STAMOS
Title or Position: OFFICE MANAGER
Credential:
Phone: 816-452-0900