Healthcare Provider Details

I. General information

NPI: 1831822584
Provider Name (Legal Business Name): GARRETT ALLEN FINNEY DMD, MSD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3470 NE RALPH POWELL RD STE C
LEES SUMMIT MO
64064-2330
US

IV. Provider business mailing address

3470 NE RALPH POWELL RD STE C
LEES SUMMIT MO
64064-2330
US

V. Phone/Fax

Practice location:
  • Phone: 816-524-9800
  • Fax: 816-524-9801
Mailing address:
  • Phone: 816-524-9800
  • Fax: 816-524-9801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number62286
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number2022024594
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: