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NPI Code Detail

MEDICARE: MERLE ALLAN NUNEMAKER DDS

MEDICARE: MERLE ALLAN NUNEMAKER 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
1122300000XDentist12727MO

General Provider Information

NPI Number : 1457354102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERLE ALLAN NUNEMAKER DDS
Provider Business Mailing Address
First Line : 400 E RED BRIDGE RD
Second Line : STE 120
City : KANSAS CITY
State : MO
Zip : 64131-4029
Country : US
Telephone Number : 816-942-8666
Fax Number : 816-942-8669
Provider Business Practice Location Address
First Line : 400 E RED BRIDGE RD
Second Line : STE 120
City : KANSAS CITY
State : MO
Zip : 64131-4029
Country : US
Telephone Number : 816-942-8666
Fax Number : 816-942-8669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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Directions to “ MERLE ALLAN NUNEMAKER DDS” Practice Location

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