Healthcare Provider Details

I. General information

NPI: 1437579208
Provider Name (Legal Business Name): GREGORY LOHR DDS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2931 NE INDEPENDENCE AVE
LEES SUMMIT MO
64064
US

IV. Provider business mailing address

8802 FINDLEY ST
LENEXA KS
66227-8100
US

V. Phone/Fax

Practice location:
  • Phone: 816-806-6242
  • Fax:
Mailing address:
  • Phone: 816-806-6242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number2016042503
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: