Healthcare Provider Details

I. General information

NPI: 1205907359
Provider Name (Legal Business Name): DENNIS M ARCE MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 PROSPECT AVE STE 311
KANSAS CITY MO
64132-4130
US

IV. Provider business mailing address

103B SOUTHPOINTE
EDWARDSVILLE IL
62025-3651
US

V. Phone/Fax

Practice location:
  • Phone: 816-361-3700
  • Fax: 816-361-3760
Mailing address:
  • Phone: 618-692-9640
  • Fax: 618-692-9643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number2004003249
License Number StateMO

VIII. Authorized Official

Name: DENNIS M ARCE
Title or Position: OWNER
Credential: MD
Phone: 816-361-3700