MEDICARE: MORENO FAMILY DENTISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1023277431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORENO FAMILY DENTISTRY

Provider Business Mailing Address
First Line	:	753 STATE AVE
Second Line	:	STE 375
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2516
Country	:	US
Telephone Number	:	913-647-1900
Fax Number	:	913-647-1901

Provider Business Practice Location Address
First Line	:	753 STATE AVE
Second Line	:	STE 375
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2516
Country	:	US
Telephone Number	:	913-647-1900
Fax Number	:	913-647-1901

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JOLENE L BIVENS
Credential	:
Telephone Number	:	913-647-1900

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	06/02/2008

Similar Medicare Providers

1982605168 — DR. MIRALDA G MORENO DDS
Practice Location Address:

753 STATE AVE , SUITE 375
KANSAS CITY, KS
66101-2516

Practice Phone: 913-647-1900
Practice Fax: 913-647-1901

1841288974 — DR. CAROL J JONES-CRALL DDS
Practice Location Address:

707 MINNESOTA AVE , SUITE 100
KANSAS CITY, KS
66101-2516

Practice Phone: 913-321-4385
Practice Fax: 913-321-4037

1003806191 — DR. TOMMY ROSE DDS
Practice Location Address:

753 STATE AVE , STE 402
KANSAS CITY, KS
66101-2516

Practice Phone: 913-321-3999
Practice Fax: 913-321-5766

1114028578 — KANSAS CITY KANSAS DENTAL ASSOCIATES PA
Practice Location Address:

753 STATE AVE , STE 665
KANSAS CITY, KS
66101-2516

Practice Phone: 913-321-4385
Practice Fax: 913-321-4037

1932238490 — JACQUELINE ANITA HOGAN LSCSW,LCSW
Practice Location Address:

753 STATE AVE , SUITE 660
KANSAS CITY, KS
66101-2516

Practice Phone: 913-244-8443
Practice Fax:

1013146547 — KANSAS CITY KANSAS DENTAL PROFESSIONALS PA
Practice Location Address:

753 STATE AVE
KANSAS CITY, KS
66101-2516

Practice Phone: 913-321-4385
Practice Fax:

Directions to “MORENO FAMILY DENTISTRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.