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NPI Code Detail

MEDICARE: DR. WHITNEY SIMONET DDS

MEDICARE: DR. WHITNEY SIMONET DDS
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
1122300000XDentist60106KS
2122300000XDentist2011036173MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21005260OTHERKSDORAL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245217801
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WHITNEY SIMONET DDS
Provider Business Mailing Address
First Line : 6708 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-3021
Country : US
Telephone Number : 913-299-8554
Fax Number : 913-299-3187
Provider Business Practice Location Address
First Line : 6708 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-3021
Country : US
Telephone Number : 913-299-8554
Fax Number : 913-299-3187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2005
Last Update Date : 02/04/2015

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