Healthcare Provider Details

I. General information

NPI: 1841373784
Provider Name (Legal Business Name): LINDA SUE DOBBS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUE DOBBS DDS

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 LEES SUMMIT RD
KANSAS CITY MO
64139-1236
US

IV. Provider business mailing address

9815 E 51ST TER
KANSAS CITY MO
64133-2229
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-6913
  • Fax: 816-404-6903
Mailing address:
  • Phone: 816-737-2826
  • Fax: 816-404-6903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number15609
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: