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General NPI Number Information
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NPI Number | 1972687580
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Entity Type | Organization
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Legal Business Name | WILLIAM E. LUTHER, JR., D.D.S., L.L.C.
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 325 SE WILSON ST
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2715
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Country | US
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Telephone | 816-525-0399
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Fax | 816-525-5160
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Provider Business Mailing Address
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Address Line | 325 SE WILSON ST
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2715
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Country | US
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Telephone | 816-525-0399
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Fax | 816-525-5160
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Authorized Official
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Title or Position | DENTIST
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Name | DR. WILLIAM E LUTHER JR.
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Credential | D.D.S.
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Telephone | 816-525-0399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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