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NPI Code Detail

MEDICARE: DR. MARIE IRENE BRANCATO DDS

MEDICARE:  DR. MARIE IRENE BRANCATO  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
11223G0001XGeneral Practice Dentistry2022021092MO

General Provider Information

NPI Number : 1245960301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIE IRENE BRANCATO DDS
Provider Business Mailing Address
First Line : 551 W 44TH ST APT 233
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3766
Country : US
Telephone Number : 816-694-8941
Fax Number :
Provider Business Practice Location Address
First Line : 4546 MAIN ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-1816
Country : US
Telephone Number : 816-931-2342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 06/13/2022

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Directions to “ DR. MARIE IRENE BRANCATO DDS” Practice Location

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