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General NPI Number Information
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NPI Number | 1134914310
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Entity Type | Organization
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Legal Business Name | BELTON DENTAL, LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 8435 CLINT DR
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City | BELTON
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State | MO
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Zip | 64012-5330
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Country | US
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Telephone | 816-331-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 8435 CLINT DR
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City | BELTON
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State | MO
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Zip | 64012-5330
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Country | US
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Telephone | 816-331-5900
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LUKE JOLIFF
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Credential |
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Telephone | 785-230-4795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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