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General NPI Number Information
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NPI Number | 1962353524
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Entity Type | Organization
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Legal Business Name | PRETTY SMILES DENTISTRY P.C.
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 5240 PROSPECT AVE
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City | KANSAS CITY
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State | MO
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Zip | 64130-2915
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Country | US
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Telephone | 816-921-8187
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Fax | 816-921-2086
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Provider Business Mailing Address
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Address Line | 5240 PROSPECT AVE
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City | KANSAS CITY
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State | MO
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Zip | 64130-2915
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Country | US
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Telephone | 816-921-8187
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Fax | 816-921-2086
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Authorized Official
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Title or Position | OWNER
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Name | MYERS NGOMSI
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Credential | DDS
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Telephone | 816-921-8187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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