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NPI Code Detail

MEDICARE: SUMAN CHAND DMD

MEDICARE: SUMAN CHAND DMD
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 Dentistry2005036007MO

General Provider Information

NPI Number : 1649479981
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMAN CHAND DMD
Provider Business Mailing Address
First Line : 4746 BELLEVIEW AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64112-1315
Country : US
Telephone Number : 816-531-8740
Fax Number :
Provider Business Practice Location Address
First Line : 4746 BELLEVIEW AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64112-1315
Country : US
Telephone Number : 816-531-8740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2007
Last Update Date : 07/17/2007

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Directions to “ SUMAN CHAND DMD” Practice Location

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