MEDICARE: DR. MICHAEL CHRISTOPHER BYARS D.D.S.

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	1223G0001X	General Practice Dentistry	2004018361	MO

General Provider Information

NPI Number	:	1487734489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL CHRISTOPHER BYARS D.D.S.

Provider Business Mailing Address
First Line	:	4530 BELL ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-4350
Country	:	US
Telephone Number	:	816-413-9009
Fax Number	:	816-413-9009

Provider Business Practice Location Address
First Line	:	6301 N OAK TRFY
Second Line	:	#204
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4705
Country	:	US
Telephone Number	:	816-413-9009
Fax Number	:	816-413-9009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/09/2007

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